| Speed Dental Practice Corporation | |
|
9381 E Stockton Blvd Suite 120 Elk Grove CA 95624-5068 | |
| (916) 686-4212 | |
| (916) 691-1602 |
| Full Name | Speed Dental Practice Corporation |
|---|---|
| Speciality | Dentist |
| Location | 9381 E Stockton Blvd, Elk Grove, California |
| Authorized Official Name and Position | Terri Speed (DENTIST/OWNER) |
| Authorized Official Contact | 9166864212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Speed Dental Practice Corporation 9098 Laguna Main St Suite 4 Elk Grove CA 95758-7449 Ph: (916) 691-1600 | Speed Dental Practice Corporation 9381 E Stockton Blvd Suite 120 Elk Grove CA 95624-5068 Ph: (916) 686-4212 |
| NPI Number | 1073881983 |
|---|---|
| Provider Enumeration Date | 12/06/2011 |
| Last Update Date | 12/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073881983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 42951 (California) | Primary |
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