| NPI | 1477878874 |
|---|---|
| Doing Business As | CLINTON DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | TAMMY M HOWARD Site Leader 910-267-0951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2012-05-11 |