| Shasta College Dental Hygiene Program | |
|
2701 Eureka Way Suite 2a Redding CA 96001-0228 | |
| (530) 245-7332 | |
| (530) 245-7333 |
| Full Name | Shasta College Dental Hygiene Program |
|---|---|
| Speciality | Dentist |
| Location | 2701 Eureka Way, Redding, California |
| Authorized Official Name and Position | Jennifer Richards (RECEPTIONIST) |
| Authorized Official Contact | 5302457332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shasta College Dental Hygiene Program 2701 Eureka Way Suite 2a Redding CA 96001-0228 Ph: (530) 245-7332 | Shasta College Dental Hygiene Program 2701 Eureka Way Suite 2a Redding CA 96001-0228 Ph: (530) 245-7332 |
| NPI Number | 1992927024 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992927024 | NPI | - | NPPES |
| G92107-01 | Other | CA | PROVIDER NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | G92107-01 (California) | Primary |
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