Disick Dental Corporation
NPI #1821019407 in Mill Valley, California
Provider Information
- NPI Number
- 1821019407
- Entity Type
- Organization
- Organization Name
- Disick Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 591 REDWOOD HWY
- Address 2
- BUILDING 2000, SUITE 2110
- City
- Mill Valley
- State
- California
- ZIP Code
- 94941-6001
- Phone
- (415) 381-4321
Authorized Official
- Name
- DR. EVAN SCHAFFER DISICK, D.D.S.
- Title
- PRESIDENT
- Phone
- (415) 381-4321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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