| Slate Dental Corporation | |
|
6512 Lonetree Blvd Ste 100 Rocklin CA 95765-5883 | |
| (916) 780-1000 | |
| Not Available |
| Full Name | Slate Dental Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6512 Lonetree Blvd Ste 100, Rocklin, California |
| Authorized Official Name and Position | Darce Slate (PRESIDENT) |
| Authorized Official Contact | 9167801000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Slate Dental Corporation 6512 Lonetree Blvd Ste 100 Rocklin CA 95765-5883 Ph: (916) 780-1000 | Slate Dental Corporation 6512 Lonetree Blvd Ste 100 Rocklin CA 95765-5883 Ph: (916) 780-1000 |
| NPI Number | 1831748839 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 09/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831748839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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