| Noura Elloway Rdh Randal Elloway Dds Corp | |
|
2426 S Main St Red Bluff CA 96080-4337 | |
| (530) 727-6080 | |
| Not Available |
| Full Name | Noura Elloway Rdh Randal Elloway Dds Corp |
|---|---|
| Speciality | Dentist |
| Location | 2426 S Main St, Red Bluff, California |
| Authorized Official Name and Position | Noura Elloway (CEO) |
| Authorized Official Contact | 5307276080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noura Elloway Rdh Randal Elloway Dds Corp 2426 S Main St Red Bluff CA 96080-4337 Ph: () - | Noura Elloway Rdh Randal Elloway Dds Corp 2426 S Main St Red Bluff CA 96080-4337 Ph: (530) 727-6080 |
| NPI Number | 1790400679 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 10/27/2022 |
| Medicare PECOS PAC ID | 3577934660 |
|---|---|
| Medicare Enrollment ID | O20230127002572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790400679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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