| NPI | 1184105082 |
|---|---|
| Doing Business As | VIRGINIA GARCIA BEAVERTON WELLNESS DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANNMARIE DENNIS Corporate Compliance Officer 503-214-1652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2023-08-19 |