John I. Rich, Dds, Inc. | |
1100 Sonoma Ave Suite E Santa Rosa CA 95405-8901 | |
(707) 528-7730 | |
(707) 528-2637 |
Full Name | John I. Rich, Dds, Inc. |
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Speciality | Dentist - General Practice |
Location | 1100 Sonoma Ave, Santa Rosa, California |
Authorized Official Name and Position | John I Rich (OWNER) |
Authorized Official Contact | 7075287730 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John I. Rich, Dds, Inc. 1100 Sonoma Ave Suite E Santa Rosa CA 95405-8901 Ph: (707) 528-7730 | John I. Rich, Dds, Inc. 1100 Sonoma Ave Suite E Santa Rosa CA 95405-8901 Ph: (707) 528-7730 |
NPI Number | 1861413049 |
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Provider Enumeration Date | 07/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1861413049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 29434 (California) | Primary |
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