WEIDEMAN-TSE DENTAL CORPORATION NPI 1548413289

NPI Information

WEIDEMAN-TSE DENTAL CORPORATION is a pediatric dentistry dentist in Rocklin, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. WEIDEMAN-TSE DENTAL CORPORATION NPI is 1548413289. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Smile Island Pediatric & Adult Dental Group.

The provider's business location address is:

6522 LONETREE BLVD
ROCKLIN, CA
ZIP 95765-874
Phone: (916) 773-6565
Fax: (916) 773-6510

The provider's authorized official is Kelvin A Tse .
The authorized official title is Owner and has the following contact phone number (916) 773-6565.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 10/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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