Dentrust, P.c.
NPI #1124763271 in Travis Afb, California
Provider Information
- NPI Number
- 1124763271
- Entity Type
- Organization
- Organization Name
- Dentrust, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 3, 2022
- Last Updated
- Sep 1, 2022
Practice Location
- Address
- 461 SKYMASTER CIR BLDG 648
- City
- Travis Afb
- State
- California
- ZIP Code
- 94535-1909
- Phone
- (707) 474-4599
Authorized Official
- Name
- AMANDA EVANS LANCE
- Title
- CREDENTIALING SPECIALIST
- Phone
- (910) 728-9767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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