Folsom Dental Group
NPI #1265606487 in Folsom, California
Provider Information
- NPI Number
- 1265606487
- Entity Type
- Organization
- Organization Name
- Folsom Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 18, 2008
- Last Updated
- Apr 18, 2008
Practice Location
- Address
- 1840 PRAIRIE CITY RD
- Address 2
- SUITE 200
- City
- Folsom
- State
- California
- ZIP Code
- 95630-9579
- Phone
- (916) 351-9808
Authorized Official
- Name
- STEVE SAMUSENKO
- Title
- OFFICE MANAGER
- Phone
- (916) 351-9808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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