Organization
NATHAN J HINCKLEY DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN JOHN HINCKLEY DDS (PRESIDENT)
(405) 651-5889
Entity
Organization
Contact information
Practice address
384 HARTNELL AVE STE B, REDDING, CA 96002-1884
(530) 223-3400
Mailing address
384 HARTNELL AVE STE B, REDDING, CA 96002-1884
(530) 223-3400
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DDS102374
CA
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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