| NPI | 1811428402 |
|---|---|
| Other Name | MISSOURI HIGHLANDS MOBILE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KAREN WHITE CEO 573-663-2313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2022-06-20 |