| Community Health Centers Coastal Dental | |
|
1304 S Miller St Santa Maria CA 93454-6904 | |
| (805) 352-1188 | |
| (805) 361-8097 |
| Full Name | Community Health Centers Coastal Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1304 S Miller St, Santa Maria, California |
| Authorized Official Name and Position | Ronald E Castle (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8053618014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Centers Coastal Dental 2050 S Blosser Rd Santa Maria CA 93458-7310 Ph: (805) 361-8014 | Community Health Centers Coastal Dental 1304 S Miller St Santa Maria CA 93454-6904 Ph: (805) 352-1188 |
| NPI Number | 1902323314 |
|---|---|
| Provider Enumeration Date | 08/25/2017 |
| Last Update Date | 08/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902323314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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