Pediatric Dental Initiative of the North Coast, Inc.
NPI #1598993198 in Windsor, California
Provider Information
- NPI Number
- 1598993198
- Entity Type
- Organization
- Organization Name
- Pediatric Dental Initiative of the North Coast, Inc.
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 23, 2009
- Last Updated
- Jun 23, 2009
Practice Location
- Address
- 1380 19TH HOLE DR
- City
- Windsor
- State
- California
- ZIP Code
- 95492-7713
- Phone
- (707) 838-6560
Authorized Official
- Name
- MS. JULIE BELLE TUCKER, RN
- Title
- ADMINISTRATOR/DIRECTOR OF NURSING
- Phone
- (707) 838-6560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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