Rist, Theodore

Rist, Theodore is an sole proprietor health care provider with primary practice located at 1730 Novato Blvd Ste F , Novato CA 94947-3048. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rist, Theodore can be contacted via phone (415) 892-3761.

Contact Information

Primary practice address
1730 Novato Blvd Ste F Novato CA 94947-3048
Phone: (415) 892-3761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 031850 California

Profile Details

NPI number 1295898245
LBN Legal business name Rist, Theodore
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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