| Elder Creek Dental | |
|
4730 47th Ave Sacramento CA 95824-3946 | |
| (916) 391-0682 | |
| Not Available |
| Full Name | Elder Creek Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4730 47th Ave, Sacramento, California |
| Authorized Official Name and Position | Peter Thompson (MANAGER) |
| Authorized Official Contact | 9163910682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elder Creek Dental 4730 47th Ave Sacramento CA 95824-3946 Ph: () - | Elder Creek Dental 4730 47th Ave Sacramento CA 95824-3946 Ph: (916) 391-0682 |
| NPI Number | 1154512747 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154512747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18162 (California) | Primary |
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