Organization
FRANCIS MACHNICK DENTAL CORP
Active
Other names
Santa Cruz Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE ESTEBAN (BOOKKEEPER)
(831) 475-2833
Entity
Organization
Contact information
Practice address
1779 DOMINICAN WAY, SANTA CRUZ, CA 95065
(831) 475-2833
Mailing address
1779 DOMINICAN WAY, SANTA CRUZ, CA 95065-1526
(831) 475-2833
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
37997
CA
1223E0200X
Endodontics
59760
CA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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