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Organization
ORCHARD DENTAL GROUP
Active
Organization
ORCHARD DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BENSON (OFFICE ADMINISTRATOR)
(916) 961-6810
Entity
Organization
Contact information
Practice address
11121 FAIR OAKS BLVD, FAIR OAKS, CA 95628-5136
(916) 961-6810
(916) 961-6445
Mailing address
11121 FAIR OAKS BLVD, FAIR OAKS, CA 95628-5136
(916) 961-6810
(916) 961-6445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
317533
CA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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