NPI | 1265077416 |
---|---|
Doing Business As | FLORENCE CRITTENTON DENTAL SERVICE |
Entity Type | Organization |
Authorized Contact | ANSAR HASSAN Chief Financial Officer 303-602-7083 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-11-12 |
Last Update Date | 2023-10-02 |