Organization
SACRAMENTO DERMATOLOGY MED GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS DAUGHTERS MD (PRESIDENT)
(916) 966-9014
Entity
Organization
Contact information
Practice address
5525 DEWEY DR, #102, FAIR OAKS, CA 95628-3129
(916) 966-9014
(916) 966-9015
Mailing address
5525 DEWEY DR, #102, FAIR OAKS, CA 95628-3129
(916) 966-9014
(916) 966-9015
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A24330
CA
207N00000X
Dermatology Physician
G22335
CA
Other
Enumeration date
11/30/2006
Last updated
08/08/2008
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