| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 140 S B St, Exeter, California |
| Authorized Official Name and Position | Darren L Rich (PRESIDENT) |
| Authorized Official Contact | 5595922213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
140 S B St Exeter CA 93221-1814 Ph: (559) 592-2213 | 140 S B St Exeter CA 93221-1814 Ph: (559) 592-2213 |
| NPI Number | 1609345016 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609345016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |