Organization
JACLYN G PAK DDS PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN G PAK (OWNER)
(916) 903-4082
Entity
Organization
Contact information
Practice address
3111 SUNSET BLVD STE X, ROCKLIN, CA 95677-3090
(916) 624-0635
Mailing address
3111 SUNSET BLVD STE X, ROCKLIN, CA 95677-3090
(916) 624-0635
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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