| 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 |