Ricuccio A. Negom Dds, A Professioal Dental Corporation in San Luis Obispo - Dental
Ricuccio A. Negom Dds, A Professioal Dental Corporation - NPI 1134399892
Ricuccio A. Negom Dds, A Professioal Dental Corporation is a Dental in San Luis Obispo, California. Ricuccio A. Negom Dds, A Professioal Dental Corporation practices all healthcare services and medical treatments related to Dental. The NPI Number for Ricuccio A. Negom Dds, A Professioal Dental Corporation is 1134399892. The last update date is 2021-03-12.
Ricuccio A. Negom Dds, A Professioal Dental Corporation's current location address is 735 Tank Farm Rd Ste 170, San Luis Obispo, California. You can contact this provider via phone number 8055499000 and fax number 8055499004. The mailing address for Ricuccio A. Negom Dds, A Professioal Dental Corporation is 735 Tank Farm Rd Ste 170, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ricuccio A. Negom Dds, A Professioal Dental Corporation |
|---|---|
| Address | 735 Tank Farm Rd Ste 170, San Luis Obispo, California |
| Phone Number | 8055499000 |
| Fax Number | 8055499004 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER, DIR |
|---|---|
| Authorized Official Name | Negom A Ricuccio |
| Credentials | DDS |
| Telephone Number | 8052153349 |
NPI Number Detail
| NPI Number | 1134399892 |
|---|---|
| Provider Enumeration Date | 2008-03-09 |
| Last Updated Date | 2021-03-12 |
Provider Mailing Address Detail
| Address | 735 Tank Farm Rd Ste 170 |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934017071 |
| Phone Number | 8055499000 |
| Fax Number | 8055499004 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 55065 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the Ricuccio A. Negom Dds, A Professioal Dental Corporation's unique identification number?
The Ricuccio A. Negom Dds, A Professioal Dental Corporation has been assigned the NPI (National Provider Identifier) Number 1134399892 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Ricuccio A. Negom Dds, A Professioal Dental Corporation?
The Ricuccio A. Negom Dds, A Professioal Dental Corporation is physically situated at 735 Tank Farm Rd Ste 170, in the city of San Luis Obispo, state of CA, with the postal code 934017071.
What is Ricuccio A. Negom Dds, A Professioal Dental Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ricuccio A. Negom Dds, A Professioal Dental Corporation is Dental, and the taxonomy code that classifies this field of practice is 261Qd0000X.
When did Ricuccio A. Negom Dds, A Professioal Dental Corporation receive its 1134399892 assignment?
The Ricuccio A. Negom Dds, A Professioal Dental Corporation was assigned its 1134399892 on 2008-03-09, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Ricuccio A. Negom Dds, A Professioal Dental Corporation last refreshed?
The information related to the Ricuccio A. Negom Dds, A Professioal Dental Corporation, including its address, specialty, and other relevant details, was last updated on 2021-03-12.