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1588498133
NORTHSTATE DENTAL UNIVERSITY PROGRAM
ELK GROVE, CA
NPI
1588498133
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Entity Type
Organization
Authorized Contact
ALVIN CHEUNG
President/CEO
916-216-6202
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2024-08-27
Last Update Date
2024-08-27
Business Address
NORTHSTATE DENTAL UNIVERSITY PROGRAM
2400 MARITIME DRIVE
ELK GROVE, CA 95758
Phone number: 916-686-8914
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Mailing Address
NORTHSTATE DENTAL UNIVERSITY PROGRAM
9700 W TARON DRIVE
ELK GROVE, CA 95757
Phone number: 916-686-7300
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