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Organization
SPEED DENTAL PRACTICE CORPORATION
Active
Organization
SPEED DENTAL PRACTICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI SPEED DDS (DENTIST/OWNER)
(916) 686-4212
Entity
Organization
Contact information
Practice address
9381 E STOCKTON BLVD, SUITE 120, ELK GROVE, CA 95624-5068
(916) 686-4212
(916) 691-1602
Mailing address
9098 LAGUNA MAIN ST, SUITE 4, ELK GROVE, CA 95758-7449
(916) 691-1600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42951
CA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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