| NPI | 1326154360 |
|---|---|
| Doing Business As | LA CLINICA DE LA RAZA--DENTAL |
| Entity Type | Organization |
| Authorized Contact | JANE GARCIA Chief Executive Officer 510-535-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 140000708) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 140000708) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-10-26 |