Elder Dental Corp
NPI #1568905917 in Vallejo, California
Provider Information
- NPI Number
- 1568905917
- Entity Type
- Organization
- Organization Name
- Elder Dental Corp
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 1, 2016
- Last Updated
- Dec 2, 2016
Practice Location
- Address
- 19 ROTARY WAY
- City
- Vallejo
- State
- California
- ZIP Code
- 94591-8475
- Phone
- (415) 890-1190
Authorized Official
- Name
- MAHR ELDER, DDS
- Title
- OWNER
- Phone
- (415) 890-1190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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