| NPI | 1366862302 |
|---|---|
| Doing Business As | PLACERVILLE DENTISTRY GROUP |
| Entity Type | Organization |
| Authorized Contact | DEBRA KIDDER Manager 530-295-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54818) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 62434) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |