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 |