| Michael J. Rieder Dmd, Professional Corp | |
|
1423 Kingsboro Ct Thousand Oaks CA 91362 | |
| (805) 494-1977 | |
| Not Available |
| Full Name | Michael J. Rieder Dmd, Professional Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1423 Kingsboro Ct, Thousand Oaks, California |
| Authorized Official Name and Position | Michael Rieder (PRESIDENT) |
| Authorized Official Contact | 8054941977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Rieder Dmd, Professional Corp 1423 Kingsboro Ct Thousand Oaks CA 91362 Ph: (805) 494-1977 | Michael J. Rieder Dmd, Professional Corp 1423 Kingsboro Ct Thousand Oaks CA 91362 Ph: (805) 494-1977 |
| NPI Number | 1770705808 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770705808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 23661 (California) | Primary |
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