Individual
ANDREW SEAN BARAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1315 ALHAMBRA BLVD, SUITE 340, SACRAMENTO, CA 95816-5244
(916) 736-3101
(916) 736-3075
Mailing address
1315 ALHAMBRA BLVD, SUITE 340, SACRAMENTO, CA 95816-5244
(916) 736-3101
(916) 736-3075
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
45817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45817
LICENSE NUMBER
CA
Enumeration date
08/29/2007
Last updated
08/29/2007
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