NPI | 1194376566 |
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Doing Business As | HONOR COMMUNITY HEALTH |
Doing Business As | HEALTHY SMILES MOBILE UNIT |
Entity Type | Organization |
Authorized Contact | MELISSA MCQUEEN Revenue Cycle Manager/Credentialing 248-724-7413 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-09-26 |
Last Update Date | 2019-09-30 |