| NPI | 1720539091 |
|---|---|
| Doing Business As | PRIMARY HEALTH CARE-UNIVERSITY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KELLY HUNTSMAN Chief Executive Officer 515-248-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-12-27 |