COUNTY OF SANTA CLARA

SAN JOSE, CA
NPI1205915501
Doing Business AsRONALD MCDONALD DENTAL MOBILE UNIT
Entity TypeOrganization
Authorized ContactALFONSO F BANUELOS
Chief Medical Officer
4088-885-4001
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: CA  070000085)
Additional Taxonomies261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
(Licence: CA  070000085)
Enumeration Date2006-11-06
Last Update Date2020-08-22
Business Address
COUNTY OF SANTA CLARA
500 TULLY RD RONALD MCDONALD DENTAL MOBILE UNIT
SAN JOSE, CA 95111-1917
Phone number: 408-885-5000
Mailing Address
COUNTY OF SANTA CLARA
PO BOX 5280 PATIENT BUSINESS SERVICES
SAN JOSE, CA 95150-5280
Phone number: 408-885-5000