| NPI | 1528246360 |
|---|---|
| Other Name | DENVER HARBOR DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DANIEL MOISES MONTEZ CEO 713-343-5450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-10-24 |