Provider Demographics
NPI:1407876154
Name:URICH, DAVID F (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:F
Last Name:URICH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W PLAZA ST
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1123
Mailing Address - Country:US
Mailing Address - Phone:858-350-9977
Mailing Address - Fax:
Practice Address - Street 1:125 W PLAZA ST
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1123
Practice Address - Country:US
Practice Address - Phone:858-350-9977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40319122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist