in Ukiah - General Practice

- NPI 1689724619

is a General Practice in Ukiah, California. practices all healthcare services and medical treatments related to General Practice. The NPI Number for is 1689724619. The last update date is .

's current location address is 3100 Robinson Creek Rd, Ukiah, California. You can contact this provider via phone number 7074680243. The mailing address for is 3100 Robinson Creek Rd, Ukiah, California. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 3100 Robinson Creek Rd, Ukiah, California
Phone Number 7074680243
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1689724619
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 3100 Robinson Creek Rd
City Ukiah
State California (CA)
Post Code 954828876
Phone Number 7074680243
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 33948
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D3394801 CA --
G9362701 CA --
B3394801 CA --

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