| Pleasant Valley Dental, General Dental Practice Of Mitchell A. Goodis, | |
|
6400 Pleasant Valley Rd El Dorado CA 95623-4230 | |
| (530) 622-2862 | |
| (530) 622-2072 |
| Full Name | Pleasant Valley Dental, General Dental Practice Of Mitchell A. Goodis, |
|---|---|
| Speciality | Dentist |
| Location | 6400 Pleasant Valley Rd, El Dorado, California |
| Authorized Official Name and Position | Mitchell A Goodis (DENTIST) |
| Authorized Official Contact | 5303440290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Valley Dental, General Dental Practice Of Mitchell A. Goodis, Po Box 568 El Dorado CA 95623-0568 Ph: (530) 622-2862 | Pleasant Valley Dental, General Dental Practice Of Mitchell A. Goodis, 6400 Pleasant Valley Rd El Dorado CA 95623-4230 Ph: (530) 622-2862 |
| NPI Number | 1790921989 |
|---|---|
| Provider Enumeration Date | 12/18/2008 |
| Last Update Date | 09/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790921989 | NPI | - | NPPES |
| 1854195417 | Other | CA | NPI FROM PRIMARY OFFICE AT DIAMOND SPRINGS DENTAL CENTER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D43010 (California) | Primary |