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Organization
PAOLO A POIDMORE AND BRIAN C CRAWFORD DENTAL CORPORATION
Active
Organization
PAOLO A POIDMORE AND BRIAN C CRAWFORD DENTAL CORPORATION
Active
Parent organization
PAOLO A POIDMORE AND BRIAN C CRAWFORD DENTAL CORPORATION
Other names
Cali Kids Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAOLO A POIDMORE AND BRIAN C CRAWFORD DENTAL CORPORATION
Authorized official
DR. BRIAN CRAWFORD DDS (OWNER)
(916) 259-9255
Entity
Organization
Contact information
Practice address
4408 ELVERTA RD STE 200, ANTELOPE, CA 95843-6723
(916) 259-9255
(916) 384-3844
Mailing address
3075 BEACON BLVD, WEST SACRAMENTO, CA 95691-3462
(916) 259-9255
(916) 384-3844
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
10/28/2024
Last updated
11/13/2024
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