Organization
SIRAK WORKNEH DDS,INC.
Active
Other names
unique dental care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIRAK YARED WORKNEH DDS (CEO)
(209) 744-9917
Entity
Organization
Contact information
Practice address
430 PINE ST, GALT, CA 95632-2045
(209) 744-9917
Mailing address
430 PINE ST, GALT, CA 95632-2045
(209) 744-9917
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
45055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45055
DENTACRE
CA
Enumeration date
01/31/2013
Last updated
01/31/2013
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