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Organization
ELSEMARY AND SALEM DENTAL CORPORATION
Active
Organization
ELSEMARY AND SALEM DENTAL CORPORATION
Active
Other names
Wackford Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA CORTES (OFFICE MANAGER)
(916) 683-3841
Entity
Organization
Contact information
Practice address
9045 BRUCEVILLE RD, SUITE #160, ELK GROVE, CA 95758-5948
(916) 683-3841
(916) 683-3848
Mailing address
9045 BRUCEVILLE RD, SUITE #160, ELK GROVE, CA 95758-5948
(916) 683-3841
(916) 683-3848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
47882
CA
1223G0001X
General Practice Dentistry
Primary
50364
CA
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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