NPI | 1932569621 |
---|---|
Doing Business As | MOBILE DENTAL |
Entity Type | Organization |
Authorized Contact | J BRANDON GAFFNEY CEO & President 864-729-8330 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-02-24 |
Last Update Date | 2025-02-11 |