| NPI | 1497501712 |
|---|---|
| Doing Business As | FOREST RIDGE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | WILLIAM LLOYD ALTIG Dentist 530-676-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |