INTERDENTAL CARE NPI 1093840696

NPI Information

INTERDENTAL CARE is a general practice dentist in Roseville, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. INTERDENTAL CARE NPI is 1093840696. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

106 N SUNRISE AVE
SUITE B-10
ROSEVILLE, CA
ZIP 95661-906
Phone: (916) 878-0631

The provider's authorized official is Mariano Wendell Guerra .
The authorized official title is Dentist and has the following contact phone number (916) 787-0631.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/22/2020.

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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