NPI | 1770852634 |
---|---|
Doing Business As | FAMILY DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | ANNA GRIEBEL CHAVEZ CFO 313-554-0485 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-12-22 |
Last Update Date | 2023-05-08 |