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Organization
MICHAEL S. FIFE, DDS, INC.
Active
Organization
MICHAEL S. FIFE, DDS, INC.
Active
Other names
Craftsman Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL STEWART FIFE DDS (PRESIDENT)
(916) 974-1160
Entity
Organization
Contact information
Practice address
1801 PROFESSIONAL DR, SACRAMENTO, CA 95825-2106
(916) 974-1160
(916) 974-1163
Mailing address
1801 PROFESSIONAL DR, SACRAMENTO, CA 95825-2106
(916) 974-1160
(916) 974-1163
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40350
CA DENTAL LICENSE
CA
Enumeration date
12/21/2006
Last updated
03/07/2023
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