Individual
JESSICA ALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2221 SUNSET BLVD, STE 101, ROCKLIN, CA 95765-4784
(916) 435-9100
Mailing address
2221 SUNSET BLVD, STE 101, ROCKLIN, CA 95765-4784
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
61326
CA
Other
Enumeration date
06/01/2012
Last updated
10/16/2013
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