| NPI | 1548615305 |
|---|---|
| Doing Business As | DENTAL CENTER OF TAYLOR COUNTY |
| Entity Type | Organization |
| Authorized Contact | LINDA M. SHRIVER Chief Executive Officer 304-265-0312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WV 1039-5432) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |