NPI | 1659888279 |
---|---|
Doing Business As | MOSAIC MEDICAL BEND DENTAL |
Entity Type | Organization |
Authorized Contact | MEGAN HAASE CEO 541-383-3005 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-01-04 |
Last Update Date | 2018-02-28 |