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Organization

STEPHANIE SANDRETTI, DDS AND MATTHEW SANDRETTI, DDS, MSD INC

Active
Other names
Southern Smiles Dental Practice
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JEANNINE SASO (BUSINESS MANAGER)
(916) 479-3432
Entity
Organization

Contact information

Practice address
755 11TH ST, LAKEPORT, CA 95453-3705
(707) 263-7023
Mailing address
755 11TH ST, LAKEPORT, CA 95453-3705
(707) 263-7023

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/01/2023
Last updated
02/01/2024
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