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Organization
COMMUNITY ORAL HEALTH SERVICES
Active
Organization
COMMUNITY ORAL HEALTH SERVICES
Active
Parent organization
COMMUNITY ORAL HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY ORAL HEALTH SERVICES
Authorized official
MRS. DEBRA ANN DIAZ (EXECUTIVE DIRECTOR)
(831) 422-6889
Entity
Organization
Contact information
Practice address
801 WALNUT AVE, GREENFIELD, CA 93927-4938
(831) 674-1570
(831) 674-9058
Mailing address
128 E ALISAL ST, SALINAS, CA 93901-3519
(831) 422-6889
(831) 422-6111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G92048-01
DENTI-CAL
CA
Enumeration date
10/23/2007
Last updated
10/25/2007
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