NPI 1013017102

Russell C. Holpuch, DDSMSD

Practitioner Periodontics Redding, CA

Practice location

Address: 2710 Eureka Way STE 5, Redding, CA 96001-0230
Phone: (530) 241-3302
Fax: (530) 241-3321

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence 35270 (CA)

Other Dentist providers in California →

Registry record

NPI: 1013017102
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.