# FAMILY HEALTH CENTERS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OKANOGAN FARM WORKERS CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235211673
- **Authorized official:** JESUS HERNANDEZ (CEO)
- **Authorized official phone:** (509) 422-5700

## Contact information

- **Practice address:** 626 SECOND AVE S, OKANOGAN, WA 98840-9679
- **Practice address phone:** (509) 422-6705
- **Practice address fax:** (509) 422-6708
- **Mailing address:** PO BOX 1340, OKANOGAN, WA 98840-1340
- **Mailing address phone:** (509) 422-5700
- **Mailing address fax:** (509) 422-7680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 600625131 | WA | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 01/19/2021