Organization
ELSEMARY AND SALEM DENTAL CORPORATION
Active
Other names
Elk Grove Kids Dentist & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERONICA CORTES (OFFICE MANAGER)
(916) 436-5437
Entity
Organization
Contact information
Practice address
9045 BRUCEVILLE RD STE 110, ELK GROVE, CA 95758-5950
(916) 436-5437
(916) 897-9265
Mailing address
9045 BRUCEVILLE RD STE 110, ELK GROVE, CA 95758-5950
(916) 436-5437
(916) 897-9265
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
47882
CA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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