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Organization
ELDER CREEK DENTAL
Active
Organization
ELDER CREEK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER THOMPSON (MANAGER)
(916) 391-0682
Entity
Organization
Contact information
Practice address
4730 47TH AVE, SACRAMENTO, CA 95824-3946
(916) 391-0682
Mailing address
4730 47TH AVE, SACRAMENTO, CA 95824-3946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18162
CA
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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