NPI | 1295062719 |
---|---|
Doing Business As | HEALTHY SMILES ORAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MIKE HASSING CEO 304-596-2610 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2009-11-04 |
Last Update Date | 2022-09-29 |