Organization
BROADSTONE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
H DANIEL ASLANI (PRESIDENT)
(916) 201-6704
Entity
Organization
Contact information
Practice address
2784.E BIDWELL ST. STE 350, FOLSOM, CA 95630
(916) 817-2966
Mailing address
2784.E BIDWELL ST. STE 350, FOLSOM, CA 95630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50562
CA
Other
Enumeration date
05/04/2007
Last updated
08/23/2007
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