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Theodore Rist JR., DDS
General Practice Dentistry in Novato, California
NPI 1295898245

Theodore Rist JR. is a General Practice Dentistry based in Novato, CA and is specialized in General Practice. Theodore Rist JR. practices in Novato, CA and has the professional credentials of DDS. The NPI Number for Theodore Rist JR. is 1295898245 and holds a License No. 031850 (California).

The current practice location address for Theodore Rist JR. is 1730 Novato Blvd Ste F, Novato, CA and can be reached out via phone at 415-892-3761. You can also correspond with Theodore Rist JR. through the mailing address at 1730 NOVATO BLVD STE F, NOVATO, CA - 94947-3048 (mailing address contact number: ).

Location: 1730 Novato Blvd Ste F, Novato, CA, 94947-3048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295898245
Provider Name
Theodore Rist JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1730 Novato Blvd Ste F, Novato, CA, 94947-3048
Phone Number
415-892-3761
Fax Number
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1730 Novato Blvd Ste F
City
Novato
State
California
Zip
94947-3048
Phone Number
415-892-3761
Fax Number
person
Provider Business Mailing Address Details
Address
1730 Novato Blvd Ste F
City
Novato
State
California
Zip
94947-3048
Phone Number
415-892-3761
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
031850 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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