Family Dental Practice of Roseville
NPI #1326179631 in Roseville, California
Provider Information
- NPI Number
- 1326179631
- Entity Type
- Organization
- Organization Name
- Family Dental Practice of Roseville
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4014 FOOTHILLS BLVD
- Address 2
- SUITE 103
- City
- Roseville
- State
- California
- ZIP Code
- 95747-7233
- Phone
- (916) 773-4343
Authorized Official
- Name
- MARK D PHIPPS, D.D.S.
- Title
- OWNER
- Phone
- (916) 773-4343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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