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Individual

DR. RICHARD H PORTALUPI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
1204 COTTONWOOD ST STE 1, WOODLAND, CA 95695-4362
(530) 662-9191
(530) 662-3568
Mailing address
1204 COTTONWOOD ST STE 1, WOODLAND, CA 95695-4362
(530) 662-9191
(530) 662-3568

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
25066
CA

Other

Enumeration date
02/08/2017
Last updated
02/08/2017
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