| NPI | 1316272420 |
|---|---|
| Doing Business As | ROCKING HORSE COMMUNITY HEALTH CENTER DENTAL |
| Doing Business As | ROCKING HORSE CENTER DENTAL |
| Doing Business As | CHAKERES DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SHONDA E. WALLACE Chief Financial Officer 937-324-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2020-12-11 |