SUMMIT DENTAL PRACTICE

FOLSOM, CA
NPI1578956363
Entity TypeOrganization
Authorized ContactMAHNAZ MOUSSAVI
Dds
916-355-8400
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  39990)
Enumeration Date2015-03-18
Last Update Date2015-03-18
Business Address
SUMMIT DENTAL PRACTICE
25004 BLUE RAVINE RD
FOLSOM, CA 95630-5283
Phone number: 916-355-8400
Mailing Address
SUMMIT DENTAL PRACTICE
25004 BLUE RAVINE RD
FOLSOM, CA 95630-5283
Phone number: 916-355-8400