Ephrata Community Dental Clinic
NPI #1023597119 in Ephrata, Washington
Provider Information
- NPI Number
- 1023597119
- Entity Type
- Organization
- Organization Name
- Ephrata Community Dental Clinic
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MOSES LAKE COMMUNITY HEALTH CENTER
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 9, 2018
- Last Updated
- Aug 9, 2018
Practice Location
- Address
- 204 12TH AVE SW
- City
- Ephrata
- State
- Washington
- ZIP Code
- 98823-2197
- Phone
- (509) 754-6199
Authorized Official
- Name
- SHEILA CHILSON
- Title
- CEO
- Phone
- (509) 766-8971
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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