| NPI | 1578184073 |
|---|---|
| Doing Business As | STRIDE CHC - POTOMAC STREET DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BEN WIEDERHOLT President & CEO 303-761-1977 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |