NPI | 1477911154 |
---|---|
Doing Business As | MEHOP DENTAL |
Entity Type | Organization |
Authorized Contact | MANUELA LUNA Billing/Credentialing Manager 979-245-2008 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-02-09 |
Last Update Date | 2023-04-28 |