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Organization
SERAFICA DENTAL CORPORATION
Active
Organization
SERAFICA DENTAL CORPORATION
Active
Other names
Lakewood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA PRONSTROLLER SERAFICA DMD (DENTIST OWNER)
(707) 836-8685
Entity
Organization
Contact information
Practice address
9046 BROOKS RD S, WINDSOR, CA 95492-7811
(707) 836-8685
(707) 836-8631
Mailing address
9046 BROOKS RD S, WINDSOR, CA 95492-7811
(707) 836-8685
(707) 836-8631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B-48180-01
HEALTHY FAMILIES
CA
05
—
G-93771-01
—
CA
Enumeration date
02/20/2007
Last updated
08/22/2020
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