NPI | 1740602440 |
---|---|
Doing Business As | ALLPOINTS ALCESTER DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | BRADLEY R BERTRAND CEO 605-356-3317 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2014-01-15 |
Last Update Date | 2014-01-15 |