Diamond Springs Dental

NPI #1235377623 in Diamond Springs, California

Provider Information

NPI Number: 1235377623
Entity Type: Organization
Organization Name: Diamond Springs Dental
Primary Specialty: Dentist
Enumeration Date: Jan 23, 2009
Last Updated: Oct 4, 2010

Practice Location

Address: 540 MAIN STREET
Address 2: STE. 102 POST OFFICE BOX 500
City: Diamond Springs
State: California
ZIP Code: 95619-0500
Phone: (530) 344-0290

Authorized Official

Name: DR. MITCHELL A GOODIS, DDS
Title: DENTIST
Phone: (530) 344-0290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Brock Davidson, DDS	Dentist	Diamond Springs	AI Deep Dive
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Organizations

Provider Name	Specialty	City
T. Rutner DDS Dental Corporation Part of T. Rutner DDS Dental Corporation	Dentist	Diamond Springs	AI Deep Dive

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