Organization
FAMILY HEALTH CENTERS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS HERNANDEZ (CEO)
(509) 422-7601
Entity
Organization
Contact information
Practice address
1003 B KOALA DR, OMAK, WA 98841-9247
(800) 660-2129
(855) 204-8902
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(509) 422-7670
(509) 422-7668
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/13/2025
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