Orchard Dental Group

NPI #1437342334 in Fair Oaks, California

Provider Information

NPI Number: 1437342334
Entity Type: Organization
Organization Name: Orchard Dental Group
Primary Specialty: Dentist
Enumeration Date: Aug 23, 2007
Last Updated: Aug 23, 2007

Practice Location

Address: 11121 FAIR OAKS BLVD
City: Fair Oaks
State: California
ZIP Code: 95628-5136
Phone: (916) 961-6810

Authorized Official

Name: LISA BENSON
Title: OFFICE ADMINISTRATOR
Phone: (916) 961-6810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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