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Organization

CALAVERAS COUNTY OFFICE OF EDUCATION

Active
Other names
Calaveras Children's Dental Project
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES THOMAS MARSHALL DDS (SUPERVISING DENTIST)
(209) 795-9942
Entity
Organization

Contact information

Practice address
185 S. MAIN ST, ANGELS CAMP, CA 95221-0760
(209) 736-6001
(209) 736-2138
Mailing address
PO BOX 760, ANGELS CAMP, CA 95221-0760
(209) 795-9942
(209) 795-9943

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Enumeration date
01/16/2007
Last updated
04/03/2008
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