Third Street Dental Mobile Van
NPI #1548594526 in Mansfield, Ohio
Provider Information
- NPI Number
- 1548594526
- Entity Type
- Organization
- Organization Name
- Third Street Dental Mobile Van
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THIRD STREET COMMUNITY CLINIC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Sep 24, 2009
- Last Updated
- May 26, 2022
Practice Location
Authorized Official
- Name
- PEGGY ANDERSON
- Title
- CFO
- Phone
- (419) 522-6191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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