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NPI Code Detail

MEDICARE: RIGEL SMART DDS

MEDICARE: RIGEL SMART DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDDS102996CA

General Provider Information

NPI Number : 1639658305
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIGEL SMART DDS
Provider Business Mailing Address
First Line : 1600 COLORADO AVE STE 3
Second Line :
City : TURLOCK
State : CA
Zip : 95382-2718
Country : US
Telephone Number : 209-667-0115
Fax Number :
Provider Business Practice Location Address
First Line : 1600 COLORADO AVE STE 3
Second Line :
City : TURLOCK
State : CA
Zip : 95382-2718
Country : US
Telephone Number : 209-667-0115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2018
Last Update Date : 03/15/2022

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Directions to “ RIGEL SMART DDS” Practice Location

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