| NPI | 1295175750 |
|---|---|
| Doing Business As | WINN COMMUNITY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DEANO THORNTON CEO 318-648-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 4275) |
| 124Q00000X Dental Hygienist (Licence: LA 1950) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2022-10-20 |