Organization
DURADENT DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADOSLAW PELIKS DDS (OWNER)
(916) 933-7401
Entity
Organization
Contact information
Practice address
1160 SUNCAST LN STE 5, EL DORADO HILLS, CA 95762-9327
(916) 933-7401
(916) 933-7413
Mailing address
1160 SUNCAST LN STE 5, EL DORADO HILLS, CA 95762-9327
(916) 933-7401
(916) 933-7413
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
50669
CA
261QD0000X
Dental Clinic/Center
53264
CA
Other
Enumeration date
04/11/2007
Last updated
07/10/2014
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