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Organization
CATON J STATE DDS MS PC
Active
Organization
CATON J STATE DDS MS PC
Active
Other names
Caton J. State DDS
Organization subpart
No
Provider details
NPI number
Authorized official
JADGEV HEIR (CEO/PRESIDENT)
(518) 441-5483
Entity
Organization
Contact information
Practice address
3105 CEDAR RAVINE ROAD, SUITE 203, PLACERVILLE, CA 95667
(530) 626-6320
Mailing address
4170 TRUXEL ROAD, SUITE C, SACRAMENTO, CA 95834
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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