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Organization
STEELE PLACERVILLE DENTAL GROUP, INC
Active
Organization
STEELE PLACERVILLE DENTAL GROUP, INC
Active
Other names
Placerville Dentistry Group
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KIDDER (MANAGER)
(530) 295-8000
Entity
Organization
Contact information
Practice address
699 MAIN ST, SUIT B, PLACERVILLE, CA 95667-5760
(530) 295-8000
(530) 295-9072
Mailing address
699 MAIN ST, SUIT B, PLACERVILLE, CA 95667-5760
(530) 295-8000
(530) 295-9072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54818
CA
1223G0001X
General Practice Dentistry
62434
CA
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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