Organization
CWCD, P.C.
Active
Other names
Cottonwood Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JAGDEV HEIR (CEO/PRESIDENT)
(518) 441-5483
Entity
Organization
Contact information
Practice address
325 E. SHORE DRIVE, SUITE 100, EAGLE, ID 83616
(208) 323-8545
Mailing address
4170 TRUXEL ROAD, SUITE C, SACRAMENTO, CA 95834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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