NPI | 1366468266 |
---|---|
Doing Business As | HATTIESBURG COMMUNITY DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | KAYE RAY Interim CEO 601-545-8700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2022-09-06 |