NPI | 1699073395 |
---|---|
Doing Business As | SUNRISE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | CATHY WOLFF CFO 970-346-2546 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2023-05-29 |