NPI | 1740641521 |
---|---|
Doing Business As | FEDERICO F. PENA FAMILY HEALTH CENTER DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | APRIL AUDAIN Chief Financial Officer 303-602-4965 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-03-08 |
Last Update Date | 2025-01-16 |