Organization
SHANESS SMITH RDHAP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANESS SMITH RDHAP (OWNER/EMPLOYEE)
(530) 218-4292
Entity
Organization
Contact information
Practice address
3050 STONEGATE DR, YUBA CITY, CA 95993-8812
(530) 218-4292
Mailing address
3050 STONEGATE DR, YUBA CITY, CA 95993-8812
(530) 218-4292
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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