Organization
COMMUNITY HEALTH CENTER OF THE CENTRAL COAST INC
Active
Other names
Community Health Centers Coastal Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD E CASTLE (CHIEF EXECUTIVE OFFICER)
(805) 361-8014
Entity
Organization
Contact information
Practice address
1304 S MILLER ST, SANTA MARIA, CA 93454-6904
(805) 352-1188
(805) 361-8097
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8014
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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