| NPI | 1245027655 |
|---|---|
| Doing Business As | WELLSPACE HEALTH PLACER DENTAL COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ALASDAIR JONATHAN PORTEUS Chief Executive Officer 916-550-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-05-13 |