NPI | 1588190359 |
---|---|
Doing Business As | SEA-MAR CHC SALMON CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | MARY BARTOLO Deputy Director 206-763-5277 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |