NPI | 1447078357 |
---|---|
Doing Business As | VHP VALERIE HODGE PEDIATRIC DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | LOUIS FINNERTY Administrator 570-614-3705 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-09-30 |
Last Update Date | 2024-09-30 |