NPI | 1780606632 |
---|---|
Doing Business As | LA CLINICA VALLEJO DENTAL |
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 550000131) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2006-07-23 |
Last Update Date | 2020-08-22 |