| NPI | 1225868540 |
|---|---|
| Other Name | MARIPOSA COMMUNITY HEALTH CENTER, INC.-RR-MDU |
| Entity Type | Organization |
| Authorized Contact | DANIEL PREVOST Chief Executive Officer 520-761-2128 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 126800000X Dental Assistant | |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |