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384 Hartnell Ave Ste A Redding CA 96002-1884 | |
| (530) 241-3302 | |
| (530) 241-3321 |
| Full Name | |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 384 Hartnell Ave Ste A, Redding, California |
| Authorized Official Name and Position | Eric M. Blasingame (PRESIDENT/ PERIODONTIST) |
| Authorized Official Contact | 5302413302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
384 Hartnell Ave Ste A Redding CA 96002-1884 Ph: (530) 241-3302 | 384 Hartnell Ave Ste A Redding CA 96002-1884 Ph: (530) 241-3302 |
| NPI Number | 1720227812 |
|---|---|
| Provider Enumeration Date | 02/12/2009 |
| Last Update Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720227812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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