Jodi Todd Rdhap, INC.
Clinic/Center, Dental in Ukiah, CA. Organization (NPI-2).
NPI number1336716620
StatusActive
Last updated in NPPESJun 7, 2021
Details
- NPI
- 1336716620
- Entity type
- Organization (NPI-2)
- Legal business name
- Jodi Todd Rdhap, INC.
- Organization subpart
- No
- Enumeration date
- Jun 7, 2021
- Certification date
- Jun 7, 2021
- Last updated
- Jun 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
244 Hospital Dr Ste BUkiah, CA 95482-4557
Phone 707-467-9733
Mailing address
561 Saratoga CtUkiah, CA 95482-4187
Phone 707-272-4426
Authorized official
Jodi Todd
President
7072724426
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