Organization
DAI LE DENTAL CORPORATION
Active
Other names
Laguna Children's Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY THI YEE (BUISNESS MANAGER)
(916) 684-8373
Entity
Organization
Contact information
Practice address
9340 W STOCKTON BLVD STE 120, ELK GROVE, CA 95758-8014
(916) 684-8373
(916) 684-8175
Mailing address
9340 W STOCKTON BLVD STE 120, ELK GROVE, CA 95758-8014
(916) 684-8373
(916) 684-8175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47748
CA
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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