Summit Dental Practice
Summit Dental Practice is a Dentist in Folsom, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
25004 Blue Ravine RdFolsom, CA 95630-5283
Phone: (916) 355-8400
Fax: (916) 355-8460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 39990 (CA) |
|---|
Record details
| NPI number | 1578956363 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mahnaz Moussavi — Dds · (916) 355-8400 |
| NPI enumerated | March 18, 2015 |
| Last updated in NPPES | March 18, 2015 |
| Mailing address | 25004 Blue Ravine Rd, Folsom, CA 95630-5283 |
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