| NPI | 1467460808 |
|---|---|
| Other Name | SU CLINICA FAMILIAR DENTAL |
| Entity Type | Organization |
| Authorized Contact | ADAM SALDIVAR CFO 956-365-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-05-14 |