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Organization
COMMUNITY HEALTH CENTER OF THE CENTRAL COAST INC
Active
Organization
COMMUNITY HEALTH CENTER OF THE CENTRAL COAST INC
Active
Other names
Community Health Centers Coastal Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD E CASTLE (CHIEF EXECUTIVE OFFICER)
(805) 361-8014
Entity
Organization
Contact information
Practice address
1304 S MILLER ST, SANTA MARIA, CA 93454-6904
(805) 352-1188
(805) 361-8097
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8014
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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