Cottonwood Dental Care | |
3251 Chestnut Street Cottonwood CA 96022 | |
(530) 347-4636 | |
(530) 547-1871 |
Full Name | Cottonwood Dental Care |
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Speciality | Dentist |
Location | 3251 Chestnut Street, Cottonwood, California |
Authorized Official Name and Position | Bruce Farrell (DENTIST) |
Authorized Official Contact | 5305475744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cottonwood Dental Care Po Box 1649 Cottonwood CA 96022-1649 Ph: (530) 347-4636 | Cottonwood Dental Care 3251 Chestnut Street Cottonwood CA 96022 Ph: (530) 347-4636 |
NPI Number | 1154829224 |
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Provider Enumeration Date | 01/24/2018 |
Last Update Date | 01/24/2018 |
Identifier | Type | State | Issuer |
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1154829224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D43003 (California) | Primary |