Organization
DAFTINC AND STAMOS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT S. DAFT DDS (PARTNER)
(919) 441-3925
Entity
Organization
Contact information
Practice address
2525 K ST, SUITE 106, SACRAMENTO, CA 95816-5114
(916) 441-3925
(916) 441-2855
Mailing address
2525 K ST, SUITE 106, SACRAMENTO, CA 95816-5114
(916) 441-3925
(916) 441-2855
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22335
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22335
LICENSEKSDAFT
CA
01
—
28244
LICENSECTSTAMOS
CA
Enumeration date
03/22/2007
Last updated
08/22/2020
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