| NPI | 1497466460 |
|---|---|
| Doing Business As | CHOPTANK MOBILE VAN #2 DENTAL |
| Entity Type | Organization |
| Authorized Contact | SARA RICH CEO 410-479-4306 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2023-09-12 |