| NPI | 1447798061 |
|---|---|
| Doing Business As | COMMUNITY HEALTH CENTERS MOBILE DENTAL VAN 3 |
| Entity Type | Organization |
| Authorized Contact | RONALD E CASTLE Chief Executive Officer 805-361-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |