# DR SCOTT R VINSON DMD A PROFESSIONAL DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245439694
- **Authorized official:** DR. SCOTT RICHARD VINSON DMD (DENTIST)
- **Authorized official phone:** (530) 662-3994

## Contact information

- **Practice address:** 1204 COTTONWOOD ST, WOODLAND, CA 95695-4362
- **Practice address phone:** (530) 662-3994
- **Mailing address:** 1204 COTTONWOOD ST, WOODLAND, CA 95695-4362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 44274 | CA | Yes |

## Other

- **Enumeration date:** 07/16/2007
- **Last updated:** 07/16/2007