| Up Valley Pediatric Dentistry | |
|
176 Main St Ste A Saint Helena CA 94574-2108 | |
| (707) 968-5144 | |
| (707) 302-5298 |
| Full Name | Up Valley Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 176 Main St Ste A, Saint Helena, California |
| Authorized Official Name and Position | Kimberly Grace Nichelini (PARTNER - PEDIATRIC DENTIST) |
| Authorized Official Contact | 7079685144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Up Valley Pediatric Dentistry 176 Main St Ste A Saint Helena CA 94574-2108 Ph: (707) 968-5144 | Up Valley Pediatric Dentistry 176 Main St Ste A Saint Helena CA 94574-2108 Ph: (707) 968-5144 |
| NPI Number | 1528669850 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 11/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528669850 | NPI | - | NPPES |
| 1164719753 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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