NPI | 1548890882 |
---|---|
Doing Business As | FAMILY DENTAL OF SOMERSET |
Entity Type | Organization |
Authorized Contact | ERIC E LOY CEO 270-858-6655 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-01-24 |
Last Update Date | 2020-01-24 |