Table # Values
licensed_healthcare_facility_listing 7 period: current
oshpd_id: 306050573
facility_name: MACT DENTAL, ANGELS CAMP
license_num: 550005595
facility_level_desc: Parent Facility
dba_address1: 52 S MAIN ST
dba_city: ANGELS CAMP
dba_zip_code: 95222
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-07-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.08162860
longitude: -120.55835550

period: 2020-12-31
oshpd_id: 306050573
facility_name: MACT DENTAL, ANGELS CAMP
license_num: 550005595
facility_level_desc: Parent Facility
dba_address1: 52 S Main St
dba_city: Angels Camp
dba_zip_code: 95222
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-07-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.08142000
longitude: -120.55860000

period: 2021-12-31
oshpd_id: 306050573
facility_name: MACT DENTAL, ANGELS CAMP
license_num: 550005595
facility_level_desc: Parent Facility
dba_address1: 52 S Main St
dba_city: Angels Camp
dba_zip_code: 95222
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-07-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.08142000
longitude: -120.55860000

period: 2022-12-31
oshpd_id: 306050573
facility_name: MACT DENTAL, ANGELS CAMP
license_num: 550005595
facility_level_desc: Parent Facility
dba_address1: 52 S Main St
dba_city: Angels Camp
dba_zip_code: 95222
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-07-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.08142000
longitude: -120.55860000

period: 2021-06-30
oshpd_id: 306050573
facility_name: MACT DENTAL, ANGELS CAMP
license_num: 550005595
facility_level_desc: Parent Facility
dba_address1: 52 S Main St
dba_city: Angels Camp
dba_zip_code: 95222
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-07-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.08142000
longitude: -120.55860000

period: 2022-06-30
oshpd_id: 306050573
facility_name: MACT DENTAL, ANGELS CAMP
license_num: 550005595
facility_level_desc: Parent Facility
dba_address1: 52 S Main St
dba_city: Angels Camp
dba_zip_code: 95222
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-07-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.08142000
longitude: -120.55860000

period: 2023-06-30
oshpd_id: 306050573
facility_name: MACT DENTAL, ANGELS CAMP
license_num: 550005595
facility_level_desc: Parent Facility
dba_address1: 52 S Main St
dba_city: Angels Camp
dba_zip_code: 95222
county_code: 05
county_name: Calaveras
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-07-23
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.08142000
longitude: -120.55860000