Ricuccio A. Negom DDS, a Professioal Dental Corporation
Ricuccio A. Negom DDS, a Professioal Dental Corporation is a Dental Clinic/Center in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
735 Tank Farm Rd Ste 170San Luis Obispo, CA 93401-7071
Phone: (805) 549-9000
Fax: (805) 549-9004
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Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 55065 (CA) |
|---|
Record details
| NPI number | 1134399892 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ricuccio Negom — Owner, Director, Officer · (805) 215-3349 |
| NPI enumerated | March 9, 2008 |
| Last updated in NPPES | March 12, 2021 |
| Certification date | March 12, 2021 |
| Mailing address | 44725 10th St W Ste 160, Lancaster, CA 93534-3000 |
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