| NPI | 1588727986 |
|---|---|
| Other Name | CHABOT COLLEGE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | NANCY CHEUNG Program Director 510-723-6951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-01-22 |