| NPI | 1407199391 |
|---|---|
| Doing Business As | FRANCES NELSON DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER HENRY CFO 217-403-5401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2024-06-03 |