NPI | 1295058287 |
---|---|
Other Name | SALT RIVER COMMUNITY DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | JOAN F HYNEK Executive Director 573-221-4422 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MO 19782870) |
Enumeration Date | 2010-03-05 |
Last Update Date | 2011-05-01 |