| NPI | 1740641521 |
|---|---|
| Doing Business As | FEDERICO F. PENA FAMILY HEALTH CENTER DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANSAR HASSAN Chief Financial Officer 303-602-7083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2023-10-03 |