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Organization

CHARLES DENTAL GROUP

Active
Other names
Charles, Moser and Salvatierra Partnership
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BLAIR VERNAL MOSER II DDS (OWNER)
(916) 721-3368
Entity
Organization

Contact information

Practice address
12344 FAIR OAKS BLVD STE A, FAIR OAKS, CA 95628-2546
(916) 721-3367
(916) 583-7445
Mailing address
12344 FAIR OAKS BLVD STE A, FAIR OAKS, CA 95628-2546
(916) 721-3367
(916) 583-7445

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40472
CA

Other

Enumeration date
10/14/2014
Last updated
10/14/2014
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