| Ridgecrest Cosmetic Dentistry | |
|
700a N Sanders St Ridgecrest CA 93555-3528 | |
| (760) 371-4800 | |
| (760) 371-4825 |
| Full Name | Ridgecrest Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 700a N Sanders St, Ridgecrest, California |
| Authorized Official Name and Position | Brian L Danielsson (CEO/DENTIST) |
| Authorized Official Contact | 7603714800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgecrest Cosmetic Dentistry 700a N Sanders St Ridgecrest CA 93555-3528 Ph: (760) 371-4800 | Ridgecrest Cosmetic Dentistry 700a N Sanders St Ridgecrest CA 93555-3528 Ph: (760) 371-4800 |
| NPI Number | 1801535067 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 06/03/2022 |
| Certification Date | 06/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801535067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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