Pleasant Valley Dental

NPI #1790921989 in El Dorado, California

Provider Information

NPI Number: 1790921989
Entity Type: Organization
Organization Name: Pleasant Valley Dental
Primary Specialty: Dentist
Enumeration Date: Dec 18, 2008
Last Updated: Sep 28, 2010

Practice Location

Address: 6400 PLEASANT VALLEY RD
City: El Dorado
State: California
ZIP Code: 95623-4230
Phone: (530) 622-2862

Authorized Official

Name: DR. MITCHELL A GOODIS, DDS
Title: DENTIST
Phone: (530) 344-0290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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