| NPI | 1477216919 |
|---|---|
| Doing Business As | VALLEY HEALTH-WOODRUFF & GONZALES DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARY-BETH N. BRUBECK VP Of Finance / CFO 304-525-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2021-10-26 |