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Organization

SEAN P. AVERA D.D.S., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SEAN P AVERA D.D.S., M.S. (OWNER)
(530) 885-0953
Entity
Organization

Contact information

Practice address
3113 PROFESSIONAL DR, SUITE 5, AUBURN, CA 95603-2459
(530) 885-0953
(530) 885-2980
Mailing address
3113 PROFESSIONAL DR, SUITE 5, AUBURN, CA 95603-2459
(530) 885-0953
(530) 885-2980

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
46165
CA

Other

Enumeration date
05/08/2007
Last updated
06/09/2010
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