DISICK DENTAL CORPORATION NPI 1821019407

NPI Information

DISICK DENTAL CORPORATION is a general practice dentist in Mill Valley, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DISICK DENTAL CORPORATION NPI is 1821019407. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Evan S. Disick, D.d.s..

The provider's business location address is:

591 REDWOOD HWY
BUILDING 2000, SUITE 2110
MILL VALLEY, CA
ZIP 94941-001
Phone: (415) 381-4321
Fax: (415) 381-4056

The provider's authorized official is Evan Schaffer Disick .
The authorized official title is President and has the following contact phone number (415) 381-4321.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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