| NPI | 1063286144 |
|---|---|
| Doing Business As | ELK GROVE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SANDRA FOULADI Dentist 916-685-2105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2024-07-31 |