A Professional Dental Corporation
NPI #1003020280 in Woodland, California
Provider Information
- NPI Number
- 1003020280
- Entity Type
- Organization
- Organization Name
- A Professional Dental Corporation
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- May 9, 2007
- Last Updated
- Feb 15, 2008
Practice Location
- Address
- 1204 COTTONWOOD ST
- Address 2
- SUITE 1
- City
- Woodland
- State
- California
- ZIP Code
- 95695-4362
- Phone
- (530) 662-9191
Authorized Official
- Name
- DR. RICHARD HENRY PORTALUPI, D.D.S., M.S.D
- Title
- OWNER
- Phone
- (530) 662-9191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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