# FAMILY HEALTH CENTERS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225902372
- **Authorized official:** JESUS HERNANDEZ (CEO)
- **Authorized official phone:** (509) 422-7601

## Contact information

- **Practice address:** 1003 B KOALA DR, OMAK, WA 98841-9247
- **Practice address phone:** (800) 660-2129
- **Practice address fax:** (855) 204-8902
- **Mailing address:** PO BOX 1340, OKANOGAN, WA 98840-1340
- **Mailing address phone:** (509) 422-7670
- **Mailing address fax:** (509) 422-7668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/01/2025
- **Last updated:** 10/13/2025