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Individual

DR. JANICE RENE WORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
9045 BRUCEVILLE RD, STE 180, ELK GROVE, CA 95758
(916) 683-7336
(916) 683-7340
Mailing address
PO BOX 582880, ELK GROVE, CA 95758-2880
(916) 422-6671
(916) 422-2928

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
37045
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
386-3523-1
EDD
CA
Enumeration date
05/27/2005
Last updated
07/08/2007
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