| NPI | 1316760317 |
|---|---|
| Other Name | SAN RAFAEL DENTAL MOBILE VAN |
| Entity Type | Organization |
| Authorized Contact | KATHRYN POWELL Chief Executive Officer 415-448-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |