Individual
JUDITH VENES LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1810 PROFESSIONAL DR, SACRAMENTO, CA 95825
(916) 971-3461
(916) 973-9830
Mailing address
11764 MINERAL BAR COURT, GOLD RIVER, CA 95670
(916) 631-8273
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30132
CA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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