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Organization
RICHARD E SPRAGUE, DDS, INC
Active
Organization
RICHARD E SPRAGUE, DDS, INC
Active
Parent organization
RICHARD E SPRAGUE DDS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICHARD E SPRAGUE DDS INC
Authorized official
DR. RICHARD EDWARD SPRAGUE DDS (DENTIST)
(949) 356-2021
Entity
Organization
Contact information
Practice address
416 N BEDFORD DR, SUITE 103, BEVERLY HILLS, CA 90210-4322
(949) 356-2021
Mailing address
416 NORTH BEDFORD DRIVE, SUITE 103, BEVERLY HILLS, CA 90210-4322
(949) 356-2021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41129
CA
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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