Organization
JARED G. DANIELSON, DDS, DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED G DANIELSON DDS (PRESIDENT)
(916) 230-8837
Entity
Organization
Contact information
Practice address
8689 FOLSOM BLVD, SACRAMENTO, CA 95826-3708
(916) 230-8837
Mailing address
3628 WALKER PARK DR, EL DORADO HILLS, CA 95762-7609
(916) 230-8837
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
52846
CA
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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