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A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center |
| NPI # | 1457740789 |
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| LBN Legal business name | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. | ||||
| Authorized official | DELGAOD CANTAVE - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/09/2015 | ||||
| Last updated | 02/03/2022 - About 4 years ago | ||||
| Identifiers |
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| WHITE KNOLL DENTISTRY, LLC 5545 PLATT SPRINGS RD LEXINGTON, SC |
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.