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Organization
MCCOMB DENTAL CORP
Active
Organization
MCCOMB DENTAL CORP
Active
Other names
Adventure Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MCCOMB DDS (PRESIDENT)
(916) 269-9777
Entity
Organization
Contact information
Practice address
920 PLEASANT GROVE BLVD STE 150, ROSEVILLE, CA 95678-6184
(916) 269-9777
(916) 269-9777
Mailing address
920 PLEASANT GROVE BLVD, ROSEVILLE, CA 95678-6139
(916) 269-9777
(916) 269-9777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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