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 |