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Organization
SIERRA PERIODONTAL GROUP
Active
Organization
SIERRA PERIODONTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAHEH SAMSARI DDS (OWNER)
(916) 962-0545
Entity
Organization
Contact information
Practice address
8680 GREENBACK LANE SUITE 109, ORANGEVALE, CA 95662-7790
(916) 962-0545
(916) 962-0927
Mailing address
8680 GREENBACK LANE SUITE 109, ORANGEVALE, CA 95662-7790
(916) 962-0545
(916) 962-0927
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
47415
CA
Other
Enumeration date
03/10/2010
Last updated
03/07/2025
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