| NPI | 1992031215 |
|---|---|
| Other Name | INDIANA DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CARL A SIZER Chief Financial Officer 724-342-0126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2024-07-11 |