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Organization
PINEBROOK DENTAL CARE CORP DENTAL OFFICE OF DIANE C. LIBERTY, DDS CORP
Active
Organization
PINEBROOK DENTAL CARE CORP DENTAL OFFICE OF DIANE C. LIBERTY, DDS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE B CARANDANG-LIBERTY DDS (PRESIDENT/OWNER)
(916) 988-7790
Entity
Organization
Contact information
Practice address
8008 FOLSOM AUBURN RD, FOLSOM, CA 95630-1664
(916) 988-7790
(916) 988-5447
Mailing address
8008 FOLSOM AUBURN RD, FOLSOM, CA 95630-1664
(916) 988-7790
(916) 988-5447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53377
CA
Other
Enumeration date
01/16/2010
Last updated
01/16/2010
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