Mantena Dental Corportation
NPI #1316555253 in Folsom, California
Provider Information
- NPI Number
- 1316555253
- Entity Type
- Organization
- Organization Name
- Mantena Dental Corportation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 16, 2020
- Last Updated
- Jul 16, 2020
Practice Location
- Address
- 25005 BLUE RAVINE RD STE 100
- City
- Folsom
- State
- California
- ZIP Code
- 95630-5706
- Phone
- (916) 984-8050
Authorized Official
- Name
- MORGAN MACDOUGALL
- Title
- OFFICE MANAGER
- Phone
- (916) 599-6767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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