Fred P Dinitz Dds Inc

NPI 1770708661 - Dentist - 1223G0001X

NPI Details
NPI 1770708661
Enumeration Date 04/16/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FRED P FRED
Position OWNER
Phone (916) 683-4333
Fax (916) 691-4339
Practice Location
8101 LAGUNA BLVD
#1
ELK GROVE CA, 95758, US
Phone (916) 683-4333
Fax (916) 691-4339
Business Location
8101 LAGUNA BLVD
#1
ELK GROVE CA, 95758, US
Phone (916) 683-4333
Fax (916) 691-4339
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 0023095
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According to our database, Fred P Dinitz Dds Inc NPI is 1770708661, taxonomy code is 1223G0001X and license number is 0023095, license state is located at California. Fred P Dinitz Dds Inc physically located at 8101 Laguna Blvd, Elk Grove CA, 95758. NPI Number 1033115704 has the healthcare provider type.

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1770708661 NPI number is provided on an as is basis without warranty of any kind. 1770708661 is maintained by the National Plan & Provider Enumeration System. The contents of Fred P Dinitz Dds Inc are for informational purposes only.