Sattout Dental Corp
Clinic/Center, Dental in Elk Grove, CA. Organization (NPI-2).
NPI number1164066627
StatusActive
Last updated in NPPESOct 29, 2019
Details
- NPI
- 1164066627
- Entity type
- Organization (NPI-2)
- Legal business name
- Sattout Dental Corp
- Organization subpart
- No
- Enumeration date
- Oct 29, 2019
- Last updated
- Oct 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Laguna Pavilion Dental (Doing Business As)
Practice location
7440 Laguna Blvd Ste 105Elk Grove, CA 95758-5072
Phone 909-248-8417
Mailing address
7440 Laguna Blvd Ste 105Elk Grove, CA 95758-5072
Phone 909-248-8417
Authorized official
Omar Sattout
Dr
9092488417
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