Organization
GASTON FAMILY HEALTH SERVICES, INC
Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC
Other names
Kintegra Pediatric Dentistry - Gastonia
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTON FAMILY HEALTH SERVICES, INC
Authorized official
SHARMILA ALEXANDER ANDERSON (BUSINESS SERVICE ADMINISTRATOR)
(704) 874-1907
Entity
Organization
Contact information
Practice address
890 SUMMIT CROSSING PL, GASTONIA, NC 28054-2192
(704) 874-0377
(704) 671-1404
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 874-0377
(704) 671-1404
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
02/18/2020
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