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Organization
RJ RINGROSE DDS INC
Active
Organization
RJ RINGROSE DDS INC
Active
Other names
Lakeshore Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J RINGROSE DDS (PRESIDENT OWNER)
(707) 994-6050
Entity
Organization
Contact information
Practice address
15322 LAKESHORE DRIVE, SUITE 104, CLEARLAKE, CA 95422
(707) 994-6050
(707) 994-8049
Mailing address
15322 LAKESHORE DRIVE, SUITE 104, CLEARLAKE, CA 95422
(707) 994-6050
(707) 994-8049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23237
CA
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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