| NPI | 1700502440 |
|---|---|
| Doing Business As | UCHC DENTURE LAB |
| Entity Type | Organization |
| Authorized Contact | KC BOLTON CEO 541-672-9596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122400000X Denturist |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |