| NPI | 1720227812 |
|---|---|
| Former Legal Business Name | RUSSELL C. HOLPUCH DDS, INC |
| Entity Type | Organization |
| Authorized Contact | ERIC M. BLASINGAME President/ Periodontist 530-241-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2019-12-20 |