A Professional Dental Corporation

NPI 1003020280 - Dentist - 1223X0400X

NPI Details
NPI 1003020280
Enumeration Date 05/09/2007
Last Updated 02/15/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD HENRY RICHARD
Position OWNER
Phone (530) 662-9191
Fax (530) 662-3568
Practice Location
1204 COTTONWOOD ST
SUITE 1
WOODLAND CA, 95695-4362, US
Phone (530) 662-9191
Fax (530) 662-3568
Business Location
1204 COTTONWOOD ST
SUITE 1
WOODLAND CA, 95695-4362, US
Phone (530) 662-9191
Fax (530) 662-3568
Toxanomy
Taxonomy Code 1223X0400X
License State California
License Number DDS25066
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According to our database, A Professional Dental Corporation NPI is 1003020280, taxonomy code is 1223X0400X and license number is DDS25066, license state is located at California. A Professional Dental Corporation physically located at 1204 Cottonwood St, Woodland CA, 95695-4362. NPI Number 1033115704 has the healthcare provider type.

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1003020280 NPI number is provided on an as is basis without warranty of any kind. 1003020280 is maintained by the National Plan & Provider Enumeration System. The contents of A Professional Dental Corporation are for informational purposes only.