Weideman-tse Dental Corporation

NPI 1548413289 - Dentist - 1223G0001X

NPI Details
NPI 1548413289
Enumeration Date 10/28/2008
Last Updated 10/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KELVIN A KELVIN
Position OWNER
Phone (916) 773-6565
Fax (916) 773-6510
Practice Location
6522 LONETREE BLVD
ROCKLIN CA, 95765-5874, US
Phone (916) 773-6565
Fax (916) 773-6510
Business Location
6522 LONETREE BLVD
ROCKLIN CA, 95765-5874, US
Phone (916) 773-6565
Fax (916) 773-6510
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 37975
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According to our database, Weideman-tse Dental Corporation NPI is 1548413289, taxonomy code is 1223G0001X and license number is 37975, license state is located at California. Weideman-tse Dental Corporation physically located at 6522 Lonetree Blvd, Rocklin CA, 95765-5874. NPI Number 1033115704 has the healthcare provider type.

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1548413289 NPI number is provided on an as is basis without warranty of any kind. 1548413289 is maintained by the National Plan & Provider Enumeration System. The contents of Weideman-tse Dental Corporation are for informational purposes only.