Individual
DR. JEFFREY A DELGADILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2525 K ST STE 101, SACRAMENTO, CA 95816-5114
(916) 442-1882
Mailing address
2525 K ST STE 101, SACRAMENTO, CA 95816-5114
(916) 442-1882
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS107240
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680318248
PRIVATE PRACTICE
CA
Enumeration date
02/10/2017
Last updated
07/10/2022
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