Organization
SLATE DENTAL CORPORATION
Active
Other names
Pure Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARCE SLATE DDS (PRESIDENT)
(916) 780-1000
Entity
Organization
Contact information
Practice address
6512 LONETREE BLVD STE 100, ROCKLIN, CA 95765-5883
(916) 780-1000
Mailing address
6512 LONETREE BLVD STE 100, ROCKLIN, CA 95765-5883
(916) 780-1000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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