Organization
CALIFORNIA DENTAL TEAM A ZUIDERVELD DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE JEANETTE ZUIDERVELD (OWNER)
(559) 625-9300
Entity
Organization
Contact information
Practice address
136 S ASPEN CT, VISALIA, CA 93291-5175
(559) 625-9300
Mailing address
182 INDUSTRIAL RD, GLEN ROCK, PA 17327-8626
(717) 759-4375
(717) 759-4336
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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