| NPI | 1558588764 |
|---|---|
| Other Name | COMMUNITY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK WHITMER Executive Director 479-785-2303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: AR 101872002) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2009-10-16 |