Theodore Rist JR., D.D.S.
NPI #1295898245 in Novato, California
Provider Information
- NPI Number
- 1295898245
- Entity Type
- Individual
- Name
- Theodore Rist JR., D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Dec 19, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1730 NOVATO BLVD STE F
- City
- Novato
- State
- California
- ZIP Code
- 94947-3048
- Phone
- (415) 892-3761
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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