Consolidated Tribal Health Project INC
NPI #1215955935 in Redwood Valley, California
Provider Information
- NPI Number
- 1215955935
- Entity Type
- Organization
- Organization Name
- Consolidated Tribal Health Project INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6991 N STATE ST
- City
- Redwood Valley
- State
- California
- ZIP Code
- 95470-9629
- Phone
- (707) 485-5115
Authorized Official
- Name
- MARY ANN NMN GONZALEZ
- Title
- CLINI DIRECTORC
- Phone
- (707) 485-5115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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