NPI | 1679116875 |
---|---|
Doing Business As | BOND CHILDREN'S DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | CATHY WOLFF CFO 970-346-2546 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-10-21 |
Last Update Date | 2023-05-29 |