Capitol Periodontal Group

NPI 1063604684 - Dentist - 1223P0300X

NPI Details
NPI 1063604684
Enumeration Date 08/16/2007
Last Updated 08/16/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN SUSAN
Position FINANCIAL ASSISTANT
Phone (916) 684-3379
Fax (916) 684-4106
Practice Location
9309 OFFICE PARK CIR
STE 110
ELK GROVE CA, 95758-8072, US
Phone (916) 684-3379
Fax (916) 684-4106
Business Location
PO BOX 255747
SACRAMENTO CA, 95865-5747, US
Phone (916) 394-6555
Fax (916) 394-6545
Toxanomy
Taxonomy Code 1223P0300X
License State
License Number
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According to our database, Capitol Periodontal Group NPI is 1063604684, taxonomy code is 1223P0300X Capitol Periodontal Group physically located at 9309 Office Park Cir, Elk Grove CA, 95758-8072. NPI Number 1033115704 has the healthcare provider type.

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1063604684 NPI number is provided on an as is basis without warranty of any kind. 1063604684 is maintained by the National Plan & Provider Enumeration System. The contents of Capitol Periodontal Group are for informational purposes only.