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Organization
PALO CEDRO DENTAL CARE
Active
Organization
PALO CEDRO DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE FARRELL DDS (DENTIST)
(530) 547-5744
Entity
Organization
Contact information
Practice address
9348 DESCHUTES RD STE A, PALO CEDRO, CA 96073-8730
(530) 547-5744
(530) 547-5791
Mailing address
9348 DESCHUTES RD STE A, PALO CEDRO, CA 96073-8730
(530) 547-5744
(530) 547-5791
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D43003
CA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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