Organization
ALEXANDER VILDERMAN DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER VILDERMAN (OWNER)
(916) 372-8525
Entity
Organization
Contact information
Practice address
825 HARBOR BLVD, WEST SACRAMENTO, CA 95691-2201
(916) 372-8525
(916) 372-5971
Mailing address
825 HARBOR BLVD, WEST SACRAMENTO, CA 95691-2201
(916) 372-8525
(916) 372-5971
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
40753
CA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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