Garret Madderra Dds, Lp

NPI 1487862280 - Dentist - 122300000X

NPI Details
NPI 1487862280
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GAVETTE S GAVETTE
Position OFFICE MANAGER
Phone (916) 929-0969
Fax (916) 929-2243
Practice Location
2020 HURLEY WAY
SUITE #290
SACRAMENTO CA, 95825, US
Phone (916) 929-0969
Fax (916) 929-2243
Business Location
2020 HURLEY WAY
SUITE #290
SACRAMENTO CA, 95825, US
Phone (916) 929-0969
Fax (916) 929-2243
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 39837
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According to our database, Garret Madderra Dds, Lp NPI is 1487862280, taxonomy code is 122300000X and license number is 39837, license state is located at California. Garret Madderra Dds, Lp physically located at 2020 Hurley Way, Sacramento CA, 95825. NPI Number 1033115704 has the healthcare provider type.

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1487862280 NPI number is provided on an as is basis without warranty of any kind. 1487862280 is maintained by the National Plan & Provider Enumeration System. The contents of Garret Madderra Dds, Lp are for informational purposes only.