| NPI | 1528821139 |
|---|---|
| Other Name | NORTHSIDE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | THOMAS GREER CEO 205-926-8134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |