| NPI | 1598234098 |
|---|---|
| Doing Business As | FOLSOM BRIDGE DENTIST |
| Entity Type | Organization |
| Authorized Contact | MEGAN CASTILLO Operations 916-781-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |