NPI | 1720890262 |
---|---|
Doing Business As | MC FERNHILL DENTAL |
Entity Type | Organization |
Authorized Contact | DERRICK MOTEN Deputy Director 503-988-2966 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-01-22 |
Last Update Date | 2025-01-22 |