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Organization

COLUSA INDIAN COMMUNITY COUNCIL

Active
Parent organization
COLUSA INDIAN COMMUNITY COUNCIL
Other names
Colusa Indian Dental Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLUSA INDIAN COMMUNITY COUNCIL
Authorized official
CATRINA MARIE ROSS (DIRECTOR OF CLINIC OPERATIONS)
(530) 458-6542
Entity
Organization

Contact information

Practice address
360 5TH ST, COLUSA, CA 95932-2467
(530) 458-3614
(530) 458-4047
Mailing address
3710 HIGHWAY 45, COLUSA, CA 95932-4026
(530) 458-6542
(530) 458-8660

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/16/2018
Last updated
11/16/2018
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