Provider Demographics
NPI:1295879781
Name:LOOK, RICHARD ALLEN (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALLEN
Last Name:LOOK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:2710 EUREKA WAY
Mailing Address - Street 2:# 3
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0230
Mailing Address - Country:US
Mailing Address - Phone:530-241-6374
Mailing Address - Fax:530-241-5140
Practice Address - Street 1:2710 EUREKA WAY
Practice Address - Street 2:# 3
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0230
Practice Address - Country:US
Practice Address - Phone:530-241-6374
Practice Address - Fax:530-241-5140
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA228171223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology