NPI | 1386937704 |
---|---|
Doing Business As | SPLG-COMMUNITY ORAL HEALTH SERVICES (MOBILE-3) |
Entity Type | Organization |
Authorized Contact | CARLOS R. GARCIA Chief Financial Officer 831-728-8250 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-05-18 |
Last Update Date | 2011-05-18 |