Broadstone Dental Group
NPI #1588982730 in Folsom, California
Provider Information
- NPI Number
- 1588982730
- Entity Type
- Organization
- Organization Name
- Broadstone Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 12, 2010
- Last Updated
- May 12, 2010
Practice Location
- Address
- 100 IRON POINT CIR
- Address 2
- SUITE #102
- City
- Folsom
- State
- California
- ZIP Code
- 95630-8596
- Phone
- (916) 983-8360
Authorized Official
- Name
- SHARON MOE
- Title
- ADMINISTRATOR
- Phone
- (916) 983-8360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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