| NPI | 1245639095 |
|---|---|
| Doing Business As | COMMUNITY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ARETHA R JONES CEO 843-722-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2022-10-28 |