| NPI | 1164282679 |
|---|---|
| Doing Business As | MOBILE DENTAL CARE #2 |
| Entity Type | Organization |
| Authorized Contact | BELINDA JOHNSON-CORNETT CEO 407-414-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-26 |