M a C T Health Board, Incorporated
NPI #1417505918 in Angels Camp, California
Provider Information
- NPI Number
- 1417505918
- Entity Type
- Organization
- Organization Name
- M a C T Health Board, Incorporated
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MACT HEALTH BOARD, INCORPORATED
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 28, 2019
- Last Updated
- Nov 17, 2022
Practice Location
- Address
- 52 S MAIN STREET, SUITE B
- City
- Angels Camp
- State
- California
- ZIP Code
- 95222
- Phone
- (209) 754-6262
Authorized Official
- Name
- JOHN SHAWVER ALEXANDER, EXECUTIVE DIRECTOR
- Title
- EXECUTIVE DIRECTOR
- Phone
- (209) 754-6258
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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