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Individual

DR. COLBY ALBERT MEEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1016 RILEY ST, FOLSOM, CA 95630-3265
(916) 605-0468
Mailing address
4819 VILLAGE GREEN DR, EL DORADO HILLS, CA 95762-7675
(702) 540-4404
(702) 540-4404

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401414845
VA
1223G0001X
General Practice Dentistry
Primary
103556
CA
1223G0001X
General Practice Dentistry
10707
KY
1223G0001X
General Practice Dentistry
36245
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10707
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
36245
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/23/2014
Last updated
11/12/2021
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