| NPI | 1659706166 |
|---|---|
| Other Name | THE SALVATION ARMY - DENTAL CENTER OF JOHNSTOWN |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN SOUTHWICK Secretary 845-620-7329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS025867L) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2022-07-21 |