Organization
ELENA OGAN DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA OGAN DMD (PRESIDENT)
(201) 835-3753
Entity
Organization
Contact information
Practice address
183 BLUE RAVINE RD, FOLSOM, CA 95630-4704
(916) 983-8870
Mailing address
183 BLUE RAVINE RD, FOLSOM, CA 95630-4704
(916) 983-8870
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DDS100984
CA
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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