| NPI | 1497803449 |
|---|---|
| Other Name | SU CLINICA FAMILIAR DENTAL CSHCN |
| Entity Type | Organization |
| Authorized Contact | ADAM SALDIVAR CFO 956-365-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |