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Organization
LA CLINICA DE LA RAZA
Active
Organization
LA CLINICA DE LA RAZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESITA MEJIA MBA (SITE MANAGER)
(510) 535-3301
Entity
Organization
Contact information
Practice address
3451 E 12TH ST, OAKLAND, CA 94601-3463
(510) 535-3301
Mailing address
1040 84TH AVE, OAKLAND, CA 94621-1832
(510) 325-1325
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
28770
CA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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