NPI | 1508030347 |
---|---|
Other Name | COMMUNITY HEALTH CENTER OF FORT DODGE DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | KATHY J WILKES CEO 515-576-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2008-09-17 |