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Individual

DR. ANDREA RAQUEL CERVANTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
8835 SHELDON RD, SUITE 140, ELK GROVE, CA 95624-5046
(916) 681-8835
(916) 687-1004
Mailing address
12393 KEATING RD, WILTON, CA 95693-9679
(916) 214-1725
(916) 687-1004

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51554
CA

Other

Enumeration date
04/10/2007
Last updated
12/02/2007
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