| Susanville Dental Care | |
|
720 Ash St Susanville CA 96130-3716 | |
| (530) 257-7256 | |
| (530) 257-3546 |
| Full Name | Susanville Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 720 Ash St, Susanville, California |
| Authorized Official Name and Position | James Weger Hodge (CO-OWNER) |
| Authorized Official Contact | 5302577256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susanville Dental Care 720 Ash St Susanville CA 96130-3716 Ph: (530) 257-7256 | Susanville Dental Care 720 Ash St Susanville CA 96130-3716 Ph: (530) 257-7256 |
| NPI Number | 1093832834 |
|---|---|
| Provider Enumeration Date | 03/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093832834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25151 (California) | Primary |
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