NPI | 1497012561 |
---|---|
Doing Business As | SPLG-COMMUNITY ORAL HEALTH SERVICES(MOBILE #3) |
Entity Type | Organization |
Authorized Contact | CARLOS R GARCIA CFO 831-728-8250 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-04-13 |
Last Update Date | 2012-05-22 |