NPI | 1184192064 |
---|---|
Doing Business As | HEALTHPOINT - CREEKSIDE DENTAL |
Entity Type | Organization |
Authorized Contact | THERESA SABELLA CEO 979-383-2348 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center Dental |
Enumeration Date | 2018-11-08 |
Last Update Date | 2024-07-10 |