| NPI | 1487276424 |
|---|---|
| Doing Business As | LA PALA DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAGAT SHETH Chief Financial Officer 510-252-6810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2021-05-07 |