THEODORE RIST

NOVATO, CA
NPI1295898245
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  031850)
Enumeration Date2006-12-19
Last Update Date2007-07-08
Business Address
-- THEODORE RIST D.D.S.
1730 NOVATO BLVD STE F
NOVATO, CA 94947-3048
Phone number: 415-892-3761
Mailing Address
-- THEODORE RIST D.D.S.
1730 NOVATO BLVD STE F
NOVATO, CA 94947-3048
Phone number:
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