Organization
FAMILY HEALTH CENTERS
Active
Other names
Omak Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS HERNANDEZ (CHIEF EXECUTIVE OFFICER)
(509) 422-7601
Entity
Organization
Contact information
Practice address
1003 KOALA DR, OMAK, WA 98841-9247
(800) 660-2129
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(509) 422-7670
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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