NPI | 1588209142 |
---|---|
Doing Business As | MAPLE CITY DENTAL |
Entity Type | Organization |
Authorized Contact | KAREN MILLER RUSH Director Of Finance 574-534-0088 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-11-07 |
Last Update Date | 2020-09-28 |