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Organization
AZOUZ DENTAL PRACTICE OF SACRAMENTO INC
Active
Organization
AZOUZ DENTAL PRACTICE OF SACRAMENTO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL TODD AZOUZ DDS (OWNER AND DENTIST)
(916) 708-2363
Entity
Organization
Contact information
Practice address
5414 SUNRISE BLVD STE D, CITRUS HEIGHTS, CA 95610-7803
(916) 961-3383
Mailing address
5414 SUNRISE BLVD STE D, CITRUS HEIGHTS, CA 95610-7803
(916) 961-3383
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093883464
—
CA
Enumeration date
11/20/2018
Last updated
11/20/2018
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