institution
Ricuccio A. Negom Dds, A Professioal Dental Corporation
Dental Clinic/Center in San Luis Obispo, California
NPI 1134399892

Ricuccio A. Negom Dds, A Professioal Dental Corporation is a Dental Clinic/Center based in Lancaster, CA and is specialized in Dental. Ricuccio A. Negom Dds, A Professioal Dental Corporation practices in San Luis Obispo, CA. The NPI Number for Ricuccio A. Negom Dds, A Professioal Dental Corporation is 1134399892 and holds a License No. 55065 (California).

The current practice location address for Ricuccio A. Negom Dds, A Professioal Dental Corporation is 735 Tank Farm Rd Ste 170, San Luis Obispo, CA and can be reached out via phone at 805-549-9000 and via fax at 805-549-9004.

Location: 735 Tank Farm Rd Ste 170, San Luis Obispo, CA, 93534-3000
institution
Provider Profile Details
NPI Number
1134399892
Provider Name
Ricuccio A. Negom Dds, A Professioal Dental Corporation
Credential
Provider Entity Type
Organization
Address
735 Tank Farm Rd Ste 170, San Luis Obispo, CA, 93534-3000
Phone Number
805-549-9000
Fax Number
805-549-9004
Provider Enumeration Date
03/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
735 Tank Farm Rd Ste 170
City
State
Zip
93401-7071
Phone Number
805-549-9000
Fax Number
805-549-9004
person
Provider Business Mailing Address Details
Address
735 Tank Farm Rd Ste 170
City
State
Zip
93401-7071
Phone Number
805-549-9000
Fax Number
805-549-9004
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
55065 (California)
Definition
Definition to come...
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