Organization
AMY M KIESSELBACH DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND TAKLA (OFFICE MANAGER)
(916) 797-3300
Entity
Organization
Contact information
Practice address
6560 LONETREE BLVD STE 101, ROCKLIN, CA 95765-5891
(916) 797-3300
Mailing address
6560 LONETREE BLVD STE 101, ROCKLIN, CA 95765-5891
(916) 797-3300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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