Individual
BRIDGET EDWAR FALTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1102 CORPORATE WAY # 150, SACRAMENTO, CA 95831-3895
(562) 746-8706
Mailing address
1102 CORPORATE WAY # 150, SACRAMENTO, CA 95831-3895
(562) 746-8706
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10822
KY
1223P0300X
Periodontics
Primary
111205
CA
Other
Enumeration date
06/25/2022
Last updated
06/23/2025
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