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Organization
RATCHFORD DENTAL PRACTICE, INC
Active
Organization
RATCHFORD DENTAL PRACTICE, INC
Active
Other names
Morro Bay Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FOREST CROWN RATCHFORD (TREASURER)
(931) 802-4893
Entity
Organization
Contact information
Practice address
747 BERNARDO AVE, MORRO BAY, CA 93442-2339
(805) 772-8585
Mailing address
747 BERNARDO AVE, MORRO BAY, CA 93442-2339
(805) 772-8585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225471311
PERSONAL NPI NUMBER
CA
Enumeration date
08/04/2014
Last updated
08/04/2014
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