| NPI | 1912279803 |
|---|---|
| Other Name | CHARTER COLLEGE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAWSON President/CEO 775-737-7403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA DE00009350) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |