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Organization
COMMUNICARE HEALTH CENTERS
Active
Organization
COMMUNICARE HEALTH CENTERS
Active
Other names
Esparto Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE STANLEY (DIRECTOR OF CLINICAL INFO SYSTEMS)
(530) 753-3498
Entity
Organization
Contact information
Practice address
16827 FREEMONT ST., ESPARTO, CA 95627
(530) 787-4972
Mailing address
PO BOX 1260, DAVIS, CA 95617-1260
(530) 753-3498
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70985F
—
CA
Enumeration date
04/23/2007
Last updated
08/22/2020
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