| Caton J. State DDS | |
|
3105 Cedar Ravine Road Suite 203 Placerville CA 95667 | |
| (530) 626-6320 | |
| Not Available |
| Full Name | Caton J. State DDS |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3105 Cedar Ravine Road, Placerville, California |
| Authorized Official Name and Position | Jadgev Heir (CEO/PRESIDENT) |
| Authorized Official Contact | 5184415483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caton J. State DDS 4170 Truxel Road Suite C Sacramento CA 95834 | Caton J. State DDS 3105 Cedar Ravine Road Suite 203 Placerville CA 95667 Ph: (530) 626-6320 |
| NPI Number | 1215617121 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215617121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | () | Secondary |
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