Individual
DR. PENNY J DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4330 GOLDEN CENTER DRIVE, SUITE A, PLACERVILLE, CA 95667
(530) 642-8614
(530) 642-9314
Mailing address
4330 GOLDEN CENTER DRIVE, SUITE A, PLACERVILLE, CA 95667-6259
(530) 642-8614
(530) 642-9314
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
42913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42913
STATE LICENSE
CA
Enumeration date
04/19/2007
Last updated
03/07/2023
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