| NPI | 1164792404 |
|---|---|
| Doing Business As | EXCELTH FAMILY DENTAL CENTER- ALGIERS |
| Entity Type | Organization |
| Authorized Contact | MATILDA A TENNESSEE Rcm 504-658-2785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2024-01-23 |