GREENVILLE RANCHERIA

NPI: 1164780573 · Organization · Active

Primary Specialty

Dentist

Practice Location

343 OAK ST
RED BLUFF, CA 96080-3304 Map ↗
Phone: 530-528-8600
Fax: 530-528-8612

All Specialties & Licenses

  • Dentist Primary (license: 56174, CA)
  • General Practice Dentistry — General Practice (license: 59948, CA)

NPI Registration

Enumerated: 2012-04-24

Last CMS Update: 2012-04-24