| NPI | 1346658515 |
|---|---|
| Doing Business As | HEALTH WEST COMMUNITY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MINDY BENEDETTI CEO 208-232-7862 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2023-12-13 |