NPI | 1790050862 |
---|---|
Other Name | EAST CENTRAL DENTAL |
Entity Type | Organization |
Authorized Contact | AARON WILSON CEO 509-444-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2025-04-04 |