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Organization
SATTOUT AND ALASWAD DENTAL CORP.
Active
Organization
SATTOUT AND ALASWAD DENTAL CORP.
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR SATTOUT DDS (PRESIDENT)
(909) 248-8417
Entity
Organization
Contact information
Practice address
8851 GREENBACK LN, ORANGEVALE, CA 95662-4058
(916) 988-5559
(916) 988-5936
Mailing address
740 W KETTLEMAN LN, LODI, CA 95240-6051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63154
CA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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