| NPI | 1760807218 |
|---|---|
| Doing Business As | COMMUNITY HEALTH CENTER CLEARWATER DENTAL |
| Entity Type | Organization |
| Authorized Contact | ELODIE DORSO CEO 727-824-8100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2019-12-11 |