NPI | 1205318102 |
---|---|
Other Name | ST ELIZABETH ANN SETON DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | JULIA HARRIS ROBINSON CEO 414-964-9016 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-09-06 |
Last Update Date | 2023-07-17 |