| NPI | 1700108578 |
|---|---|
| Doing Business As | GLOSTER DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | PAM T. POOLE Executive Director 601-657-4326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |