Organization
AZOUZ DENTAL PRACTICE OF SACRAMENTO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL TODD AZOUZ DDS (OWNER AND DENTIST)
(916) 708-2363
Entity
Organization
Contact information
Practice address
5414 SUNRISE BLVD STE D, CITRUS HEIGHTS, CA 95610-7803
(916) 961-3383
Mailing address
5414 SUNRISE BLVD STE D, CITRUS HEIGHTS, CA 95610-7803
(916) 961-3383
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093883464
—
CA
Enumeration date
11/20/2018
Last updated
11/20/2018
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