Organization
UC DAVIS UNIV DENTAL ASSOCIATES
Active
Other names
UNIVERSITY DENTAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARYT HUNTER R.D.A.. (REGISTERED DENTAL ASSISTANT)
(916) 734-5408
Entity
Organization
Contact information
Practice address
2521 STOCKTON BLVD, ROOM 5200, SACRAMENTO, CA 95817-2207
(916) 734-5408
(916) 734-4960
Mailing address
PO BOX 60000, SAN FRANCISCO, CA 94160-0001
(916) 734-5408
(916) 734-4960
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G01073-01
—
CA
Enumeration date
02/08/2007
Last updated
08/22/2020
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