Richard E Sprague, Dds, INC

NPI #1093268757 in Beverly Hills, California

Provider Information

NPI Number: 1093268757
Entity Type: Organization
Organization Name: Richard E Sprague, Dds, INC
Subpart: Yes (part of a larger organization)
Parent Organization: RICHARD E SPRAGUE DDS INC
Primary Specialty: Dentist
Enumeration Date: Jul 29, 2016
Last Updated: Jul 29, 2016

Practice Location

Address: 416 N BEDFORD DR
Address 2: SUITE 103
City: Beverly Hills
State: California
ZIP Code: 90210-4322
Phone: (949) 356-2021

Authorized Official

Name: DR. RICHARD EDWARD SPRAGUE, DDS
Title: DENTIST
Phone: (949) 356-2021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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