Organization
THADDOUS ARCHIE, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THADDOUS L ARCHIE DDS (DENTIST, OWNER)
(916) 691-6020
Entity
Organization
Contact information
Practice address
8013 LAGUNA BLVD STE 2, ELK GROVE, CA 95758-8130
(916) 691-6020
(916) 691-6022
Mailing address
8013 LAGUNA BLVD STE 2, ELK GROVE, CA 95758-8130
(916) 691-6020
(916) 691-6022
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
12/02/2024
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