Organization
SIRAK WORKNEH DDS,INC.
Active
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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