NPI | 1396512034 |
---|---|
Doing Business As | MHC HEALTHCARE DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | JOSHUA B CARZOLI CEO 520-682-4111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-12-04 |
Last Update Date | 2023-12-04 |