Organization
QUAILHEARST CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNNI MILLER RDH (PRESIDENT)
(530) 949-8221
Entity
Organization
Contact information
Practice address
2775 PARK MARINA DR STE A, REDDING, CA 96001-2840
(530) 949-8221
Mailing address
PO BOX 71076, SHASTA LAKE, CA 96079-1076
(530) 949-8221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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