Thaddous L Archie DDS

NPI 1992864011 - Dentist - 1223G0001X

NPI Details
NPI 1992864011
Gender Male
Enumeration Date 12/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
8013 LAGUNA BLVD STE 2
ELK GROVE CA, 95758-7920, US
Phone (916) 691-6020
Fax (916) 691-6022
Business Location
8013 LAGUNA BLVD STE 2
ELK GROVE CA, 95758-7920, US
Phone (916) 691-6020
Fax (916) 691-6022
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 30098
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According to our database, Thaddous L Archie DDS NPI is 1992864011, taxonomy code is 1223G0001X and license number is 30098, license state is located at California. Thaddous L Archie DDS physically located at 8013 Laguna Blvd Ste 2, Elk Grove CA, 95758-7920. NPI Number Thaddous L Archie DDS has the Individual type.

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1992864011 NPI number is provided on an as is basis without warranty of any kind. 1992864011 is maintained by the National Plan & Provider Enumeration System. The contents of Thaddous L Archie DDS are for informational purposes only.