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Organization
VISTA COMMUNITY CLINIC - DENTAL
Active
Organization
VISTA COMMUNITY CLINIC - DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY MUENZ (REVENUE MANAGER)
(760) 726-0065
Entity
Organization
Contact information
Practice address
1000 VALE TERRACE, VISTA, CA 92084
(760) 631-5000
Mailing address
1000 VALE TERRACE, VISTA, CA 92084
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
CA
261QF0400X
Federally Qualified Health Center (FQHC)
—
CA
Other
Enumeration date
10/04/2006
Last updated
09/11/2025
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