Elder Creek Dental
NPI #1154512747 in Sacramento, California
Provider Information
- NPI Number
- 1154512747
- Entity Type
- Organization
- Organization Name
- Elder Creek Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 7, 2007
- Last Updated
- Aug 7, 2007
Practice Location
- Address
- 4730 47TH AVE
- City
- Sacramento
- State
- California
- ZIP Code
- 95824-3946
- Phone
- (916) 391-0682
Authorized Official
- Name
- PETER THOMPSON
- Title
- MANAGER
- Phone
- (916) 391-0682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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