| NPI | 1780478933 |
|---|---|
| Doing Business As | KEYSTONE DENTAL CARE CATHERINE STREET |
| Entity Type | Organization |
| Authorized Contact | JOANNE COCHRAN President & CEO 717-709-7906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |