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Organization
GREENVILLE RANCHERIA
Active
Organization
GREENVILLE RANCHERIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIA LOUISE HAYWORTH (BILLING SUPERVISOR)
(530) 528-8600
Entity
Organization
Contact information
Practice address
78 E CENTRAL AVE, QUINCY, CA 95971-9779
(530) 283-0980
Mailing address
1425 MONTGOMERY RD, RED BLUFF, CA 96080-4605
(530) 528-3481
(530) 528-8612
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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