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Organization
INSTITUTE OF ESTHETIC DENTISTRY, INC.
Active
Organization
INSTITUTE OF ESTHETIC DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE ALAN GOWDEY DDS, MA (CHIEF EXECUTIVE OFFICER)
(916) 941-2333
Entity
Organization
Contact information
Practice address
4944 WINDPLAY DR, SUITE 300, EL DORADO HILLS, CA 95762-9688
(916) 941-2333
Mailing address
4944 WINDPLAY DR, SUITE 300, EL DORADO HILLS, CA 95762-9688
(916) 941-2333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
38843
CA
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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