NPI | 1316577406 |
---|---|
Doing Business As | KINTEGRA FAMILY DENTISTRY-STATESVILLE |
Entity Type | Organization |
Authorized Contact | SHARMILA ALEXANDER ANDERSON Business Service Administrator 704-874-1907 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-01-17 |
Last Update Date | 2020-02-18 |