Organization
INSTITUTE OF ESTHETIC DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE ALAN GOWDEY DDS, MA (CHIEF EXECUTIVE OFFICER)
(916) 941-2333
Entity
Organization
Contact information
Practice address
4944 WINDPLAY DR, SUITE 300, EL DORADO HILLS, CA 95762-9688
(916) 941-2333
Mailing address
4944 WINDPLAY DR, SUITE 300, EL DORADO HILLS, CA 95762-9688
(916) 941-2333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
38843
CA
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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