Organization
BROADSTONE DENTAL GROUP
Active
Other names
Designs in Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON MOE (ADMINISTRATOR)
(916) 983-8360
Entity
Organization
Contact information
Practice address
100 IRON POINT CIR, SUITE #102, FOLSOM, CA 95630-8596
(916) 983-8360
(916) 983-8365
Mailing address
100 IRON POINT CIR, SUITE #102, FOLSOM, CA 95630-8596
(916) 983-8360
(916) 983-8365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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