| Organization Name: | DEL NORTE CLINICS INC. |
| NPI Number: | 1588720056 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE C FONG (CEO) |
| Mailing Address: | 411 4th St Wheatland |
| State: | CA US |
| Postal Code: | 956929467 |
| Phone Number: | 5306744261 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |