| NPI | 1710517339 |
|---|---|
| Doing Business As | 9TH STREET DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | PEGGY ANDERSON CEO 419-522-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2024-10-29 |