NPI 1003020280 · live from the CMS NPI Registry
A Professional Dental Corporation
Dentist, Orthodontics and Dentofacial Orthopedics in Woodland, CA. National Provider Identifier 1003020280, active.
NPI record
| NPI | 1003020280 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1204 Cottonwood St, Suite 1, Woodland, CA 95695 |
| Practice phone | 530-662-9191 |
| Enumerated | May 9, 2007 |
| Last updated | February 15, 2008 |
| Authorized official | Richard Portalupi, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DDS25066 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.