Organization
AXELRODE ORTHODONTICS VALLEJO CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC L AXELRODE DDS, MSD (OWNER)
(707) 643-2307
Entity
Organization
Contact information
Practice address
15 ROTARY WAY, VALLEJO, CA 94591-8475
(707) 643-2307
Mailing address
15 ROTARY WAY, VALLEJO, CA 94591-8475
(707) 643-2307
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
45640
CA
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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