| NPI | 1114109386 |
|---|---|
| Doing Business As | ELK GROVE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | INAKSH JOHAL Contracts Administrator 916-686-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |