Organization
SIERRA FOOTHILLS ORAL & MAXILLOFACIAL SURGERY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA CURTIS (BUSINESS MANAGER)
(707) 279-2193
Entity
Organization
Contact information
Practice address
2350 PROFESSIONAL DRIVE, SUITE 400, ROSEVILLE, CA 95661-7747
(916) 786-3930
(916) 786-2435
Mailing address
2350 PROFESSIONAL DRIVE, SUITE 400, ROSEVILLE, CA 95661-7747
(916) 786-3930
(916) 786-2435
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
37070
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
58195
IN
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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