| Quailhearst Corp | |
|
2775 Park Marina Dr Ste A Redding CA 96001-2840 | |
| (530) 949-8221 | |
| Not Available |
| Full Name | Quailhearst Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2775 Park Marina Dr Ste A, Redding, California |
| Authorized Official Name and Position | Lynni Miller (PRESIDENT) |
| Authorized Official Contact | 5309498221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quailhearst Corp Po Box 71076 Shasta Lake CA 96079-1076 Ph: (530) 949-8221 | Quailhearst Corp 2775 Park Marina Dr Ste A Redding CA 96001-2840 Ph: (530) 949-8221 |
| NPI Number | 1467937367 |
|---|---|
| Provider Enumeration Date | 09/27/2018 |
| Last Update Date | 09/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467937367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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