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Organization
DENTAL DYNAMIC SERVICES, INC.
Active
Organization
DENTAL DYNAMIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PACIFICO MAPANAO (CEO)
(916) 517-5999
Entity
Organization
Contact information
Practice address
5752 LONETREE BLVD, ROCKLIN, CA 95765-3734
(916) 469-3613
(916) 434-6384
Mailing address
5752 LONETREE BLVD, ROCKLIN, CA 95765-3734
(916) 469-3613
(916) 434-6384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55740
CA
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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