Organization
FAMILY HEALTH CENTERS DENTAL
Active
Other names
OKANOGAN FARM WORKERS CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS HERNANDEZ (CEO)
(509) 422-5700
Entity
Organization
Contact information
Practice address
626 SECOND AVE S, OKANOGAN, WA 98840-9679
(509) 422-6705
(509) 422-6708
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(509) 422-5700
(509) 422-7680
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
600625131
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5022199
—
WA
Enumeration date
10/19/2006
Last updated
01/19/2021
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