Individual
MATTHEW AUGUST SANDRETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9727 ELK GROVE FLORIN RD, ELK GROVE, CA 95624-2264
(916) 768-8144
Mailing address
9727 ELK GROVE FLORIN RD, ELK GROVE, CA 95624-2264
(916) 768-8144
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0442000194
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
64522
CA
Other
Enumeration date
04/30/2014
Last updated
07/21/2015
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