Individual
DOUGLAS ALAN GEDESTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2409 L ST, SUITE 1, SACRAMENTO, CA 95816-5025
(916) 448-1444
(916) 447-2125
Mailing address
2409 L ST, SUITE 1, SACRAMENTO, CA 95816-5025
(916) 448-1444
(916) 447-2125
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28555
CA
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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