Table # Values
licensed_healthcare_facility_listing 4 period: current
oshpd_id: 306210673
facility_name: MARIN COMMUNITYCLINIC 4TH STREET DENTAL
license_num: 550007823
facility_level_desc: Parent Facility
dba_address1: 411 4TH ST
dba_city: SAN RAFAEL
dba_zip_code: 94901
county_code: 21
county_name: Marin
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-02-11
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 37.97159130
longitude: -122.51800060

period: 2022-12-31
oshpd_id: 306210673
facility_name: MARIN COMMUNITYCLINIC 4TH STREET DENTAL
license_num: 550007823
facility_level_desc: Parent Facility
dba_address1: 411 4th St
dba_city: San Rafael
dba_zip_code: 94901
county_code: 21
county_name: Marin
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-02-11
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 37.97158000
longitude: -122.51799000

period: 2022-06-30
oshpd_id: 306210673
facility_name: MARIN COMMUNITYCLINIC 4TH STREET DENTAL
license_num: 550007823
facility_level_desc: Parent Facility
dba_address1: 411 4th St
dba_city: San Rafael
dba_zip_code: 94901
county_code: 21
county_name: Marin
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-02-11
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 37.97158000
longitude: -122.51799000

period: 2023-06-30
oshpd_id: 306210673
facility_name: MARIN COMMUNITYCLINIC 4TH STREET DENTAL
license_num: 550007823
facility_level_desc: Parent Facility
dba_address1: 411 4th St
dba_city: San Rafael
dba_zip_code: 94901
county_code: 21
county_name: Marin
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-02-11
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 37.97158000
longitude: -122.51799000