| Axelrode Orthodontics Vallejo California | |
|
15 Rotary Way Vallejo CA 94591-8475 | |
| (707) 643-2307 | |
| Not Available |
| Full Name | Axelrode Orthodontics Vallejo California |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 15 Rotary Way, Vallejo, California |
| Authorized Official Name and Position | Eric L Axelrode (OWNER) |
| Authorized Official Contact | 7076432307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axelrode Orthodontics Vallejo California 15 Rotary Way Vallejo CA 94591-8475 Ph: (707) 643-2307 | Axelrode Orthodontics Vallejo California 15 Rotary Way Vallejo CA 94591-8475 Ph: (707) 643-2307 |
| NPI Number | 1972924090 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 12/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972924090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 45640 (California) | Primary |
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