Organization
RICHARD PORTALUPI DDS, MSD, AND R. SCOTT ANDERSON, DMD, A DENTAL CORP
Active
Other names
Creekside Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. SCOTT ANDERSON DMD (ORTHODONTIST)
(707) 452-1111
Entity
Organization
Contact information
Practice address
2070 PEABODY RD STE 700, VACAVILLE, CA 95687-6697
(707) 452-1111
(707) 452-0277
Mailing address
2070 PEABODY RD STE 700, VACAVILLE, CA 95687-6697
(707) 452-1111
(707) 452-0277
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
CA
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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