NPI | 1114411659 |
---|---|
Doing Business As | SACRAMENTO WEST DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | ARCHANA WAKODE President 916-372-3368 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2018-06-19 |
Last Update Date | 2020-05-07 |