| NPI | 1053880245 |
|---|---|
| Doing Business As | COLUSA INDIAN DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CATRINA MARIE ROSS Director Of Clinic Operations 530-458-6542 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |