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Organization
WOODCREEK DENTISTRY INC.
Active
Organization
WOODCREEK DENTISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KENNETH RALLI DDS (OWNER)
(916) 773-0800
Entity
Organization
Contact information
Practice address
7456 FOOTHILLS BLVD STE 14, ROSEVILLE, CA 95747-6562
(916) 773-0800
(916) 773-0835
Mailing address
7456 FOOTHILLS BLVD., #14, ROSEVILLE, CA 95747
(916) 773-0800
(916) 773-0835
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47783
CA
122300000X
Dentist
47828
CA
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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