| NPI | 1912571027 |
|---|---|
| Doing Business As | A STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | BLAKE K ANDERSON Doctor/Owner 916-765-7036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-14 |