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Organization
HEJLAWY DDS PC
Active
Organization
HEJLAWY DDS PC
Active
Other names
Blue Oak Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMER HEJLAWY DDS.MSD (PRESIDENT)
(707) 447-7576
Entity
Organization
Contact information
Practice address
301 ALAMO DR STE D, VACAVILLE, CA 95688-4246
(707) 447-7576
Mailing address
301 ALAMO DR STE D, VACAVILLE, CA 95688-4246
(707) 447-7576
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528579661
NPI
—
01
—
1902229164
NPI
—
Enumeration date
10/17/2017
Last updated
11/20/2019
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