| 1st Impressions Dentistry | |
|
2720 Highway 4 Suite 3 & 4 Arnold CA 95223 | |
| (209) 795-1535 | |
| (209) 795-6733 |
| Full Name | 1st Impressions Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2720 Highway 4, Arnold, California |
| Authorized Official Name and Position | Shannon S Russell (PRESIDENT) |
| Authorized Official Contact | 2097951535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Impressions Dentistry Po Box 29 Arnold CA 95223-0029 Ph: (209) 795-1535 | 1st Impressions Dentistry 2720 Highway 4 Suite 3 & 4 Arnold CA 95223 Ph: (209) 795-1535 |
| NPI Number | 1902031974 |
|---|---|
| Provider Enumeration Date | 05/20/2009 |
| Last Update Date | 05/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902031974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
David N Arnold, D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Oak Circle, Arnold, CA 95223 Phone: 209-795-1334 |