NPI | 1922547637 |
---|---|
Doing Business As | SEA MAR CHC DENTAL |
Entity Type | Organization |
Authorized Contact | MARY BARTOLO Executive Vice President 206-788-3263 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 122300000X Dentist |
1223G0001X Dentist General Practice | |
1223P0221X Dentist Pediatric Dentistry | |
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
124Q00000X Dental Hygienist | |
261QM1300X Clinic/Center Multi-Specialty | |
Enumeration Date | 2017-02-14 |
Last Update Date | 2023-08-03 |