David Scott Dental Corp
Dentist in Roseville, CA. Organization (NPI-2).
NPI number1821262007
StatusActive
Last updated in NPPESJul 3, 2008
Details
- NPI
- 1821262007
- Entity type
- Organization (NPI-2)
- Legal business name
- David Scott Dental Corp
- Organization subpart
- No
- Enumeration date
- Apr 17, 2008
- Last updated
- Jul 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 31150 | CA | Yes |
Other names
- Good Name Scott Dental Corporation (Former Legal Business Name)
Practice location
730 Sunrise AveSte 120
Roseville, CA 95661-4549
Phone 916-797-0868 · Fax 916-797-0818
Mailing address
730 Sunrise AveSte 120
Roseville, CA 95661-4549
Phone 916-797-0868 · Fax 916-797-0818
Authorized official
David W Scott
Owner
9167970868
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