| NPI | 1407180540 |
|---|---|
| Doing Business As | COMMUNITY DENTAL HEALTH, SENIOR MOBILE DENTAL, GRAND AVE |
| Entity Type | Organization |
| Authorized Contact | P. MICHELLE VACHA Executive Director 719-310-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: CO 20071454175) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2020-12-01 |