| NPI | 1346262292 |
|---|---|
| Doing Business As | LA CLINICA DENTAL AT CHILDREN'S HOSPITAL OAKLAND |
| 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 140000670) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2019-02-06 |