| NPI | 1215499520 |
|---|---|
| Doing Business As | CHARLOTTE COMMUNITY HEALTH CLINIC FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LISA M HOLMES COO 704-316-6561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2022-03-16 |