| NPI | 1841255577 |
|---|---|
| Other Name | SSCHC CHAVEZ DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARIA CECILIA S TAYLOR CFO 414-803-6395 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2023-05-03 |