NPI | 1396421434 |
---|---|
Doing Business As | NEW HEALTH NEWPORT DENTAL |
Entity Type | Organization |
Authorized Contact | DONNA POE Credentialing Specialist 509-935-6001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-06-23 |
Last Update Date | 2023-07-18 |