| NPI | 1356611404 |
|---|---|
| Other Name | OPEN DOOR HEALTH CENTER - MOBILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS L JAEGER CEO 507-344-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2016-04-04 |