Table	#	Values
licensed_healthcare_facility_listing	13	period: current oshpd_id: 306054014 facility_name: MACT DENTAL CLINIC SAN ANDREAS license_num: 550003856 facility_level_desc: Parent Facility dba_address1: 1113 HIGHWAY 49 dba_city: SAN ANDREAS dba_zip_code: 95249 county_code: 05 county_name: Calaveras er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2017-05-05 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 38.20789250 longitude: -120.69913710 period: 2017-12-31 oshpd_id: 306054014 facility_name: MACT DENTAL CLINIC SAN ANDREAS license_num: 550003856 facility_level_desc: Parent Facility dba_address1: 1113 HIGHWAY 49 dba_city: SAN ANDREAS dba_zip_code: 95249 county_code: 5 county_name: CALAVERAS er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2017-05-05 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 38.20787000 longitude: -120.69724000 period: 2018-12-31 oshpd_id: 306054014 facility_name: MACT DENTAL CLINIC SAN ANDREAS license_num: 550003856 facility_level_desc: Parent Facility dba_address1: 1113 HIGHWAY 49 dba_city: SAN ANDREAS dba_zip_code: 95249 county_code: 05 county_name: CALAVERAS er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2017-05-05 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 38.20787000 longitude: -120.69724000 period: 2019-12-31 oshpd_id: 306054014 facility_name: MACT DENTAL CLINIC SAN ANDREAS license_num: 550003856 facility_level_desc: Parent Facility dba_address1: 1113 HIGHWAY 49 dba_city: SAN ANDREAS dba_zip_code: 95249 county_code: 05 county_name: CALAVERAS er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2017-05-05 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 38.20787000 longitude: -120.69724000 period: 2020-12-31 oshpd_id: 306054014 facility_name: MACT DENTAL CLINIC SAN ANDREAS license_num: 550003856 facility_level_desc: Parent Facility dba_address1: 1113 Highway 49 dba_city: San Andreas dba_zip_code: 95249 county_code: 05 county_name: Calaveras er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2017-05-05 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 38.20787000 longitude: -120.69724000 period: 2021-12-31 oshpd_id: 306054014 facility_name: MACT DENTAL CLINIC SAN ANDREAS license_num: 550003856 facility_level_desc: Parent Facility dba_address1: 1113 Highway 49 dba_city: San Andreas dba_zip_code: 95249 county_code: 05 county_name: Calaveras er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2017-05-05 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 38.20787000 longitude: -120.69724000 period: 2022-12-31 oshpd_id: 306054014 facility_name: MACT DENTAL CLINIC SAN ANDREAS license_num: 550003856 facility_level_desc: Parent Facility dba_address1: 1113 Highway 49 dba_city: San Andreas dba_zip_code: 95249 county_code: 05 county_name: Calaveras er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2017-05-05 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 38.20787000 longitude: -120.69724000 period: 2018-06-30 oshpd_id: 306054014 facility_name: MACT DENTAL CLINIC SAN ANDREAS license_num: 550003856 facility_level_desc: Parent Facility dba_address1: 1113 HIGHWAY 49 dba_city: SAN ANDREAS dba_zip_code: 95249 county_code: 05 county_name: CALAVERAS er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2017-05-05 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 38.20787000 longitude: -120.69724000 period: 2019-06-30 oshpd_id: 306054014 facility_name: MACT DENTAL CLINIC SAN ANDREAS license_num: 550003856 facility_level_desc: Parent Facility dba_address1: 1113 HIGHWAY 49 dba_city: SAN ANDREAS dba_zip_code: 95249 county_code: 05 county_name: CALAVERAS er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2017-05-05 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 38.20787000 longitude: -120.69724000 period: 2020-06-30 oshpd_id: 306054014 facility_name: MACT DENTAL CLINIC SAN ANDREAS license_num: 550003856 facility_level_desc: Parent Facility dba_address1: 1113 Highway 49 dba_city: San Andreas dba_zip_code: 95249 county_code: 05 county_name: Calaveras er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2017-05-05 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 38.20787000 longitude: -120.69724000 period: 2021-06-30 oshpd_id: 306054014 facility_name: MACT DENTAL CLINIC SAN ANDREAS license_num: 550003856 facility_level_desc: Parent Facility dba_address1: 1113 Highway 49 dba_city: San Andreas dba_zip_code: 95249 county_code: 05 county_name: Calaveras er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2017-05-05 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 38.20787000 longitude: -120.69724000 period: 2022-06-30 oshpd_id: 306054014 facility_name: MACT DENTAL CLINIC SAN ANDREAS license_num: 550003856 facility_level_desc: Parent Facility dba_address1: 1113 Highway 49 dba_city: San Andreas dba_zip_code: 95249 county_code: 05 county_name: Calaveras er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2017-05-05 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 38.20787000 longitude: -120.69724000 period: 2023-06-30 oshpd_id: 306054014 facility_name: MACT DENTAL CLINIC SAN ANDREAS license_num: 550003856 facility_level_desc: Parent Facility dba_address1: 1113 Highway 49 dba_city: San Andreas dba_zip_code: 95249 county_code: 05 county_name: Calaveras er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2017-05-05 license_type_desc: Clinic license_category_desc: Community Clinic latitude: 38.20787000 longitude: -120.69724000