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Provider Information for 1023464112



CHRISTOPHER JOSEPH REHAGE DMD

Gender: MALE

Individual NPI: 1023464112

Calendar Last Updated: 2018-03-17

Details

Name Value
NPI 1023464112
Enumeration Date 2016-05-09
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 884 SOUTHAMPTON RD
BENICIA, CA 94510-1907
United States

Phone: 707-748-7600 | Fax: 707-748-7693
View Map External Link
Primary Practice Address 884 SOUTHAMPTON RD
BENICIA, CA 94510-1907
United States

Phone: 707-748-7600 | Fax: 707-748-7693
View Map External Link
Secondary Practice Address 124 WARWICK CT
ALAMO, CA 94507-1754
United States

Phone: 925-639-8611 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 100430
No 390200000X - Student in an Organized Health Care Education/Training Program