| Duradent Dental Inc. | |
|
1160 Suncast Ln Ste 5 El Dorado Hills CA 95762-9327 | |
| (916) 933-7401 | |
| (916) 933-7413 |
| Full Name | Duradent Dental Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1160 Suncast Ln Ste 5, El Dorado Hills, California |
| Authorized Official Name and Position | Radoslaw Peliks (OWNER) |
| Authorized Official Contact | 9169337401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duradent Dental Inc. 1160 Suncast Ln Ste 5 El Dorado Hills CA 95762-9327 Ph: (916) 933-7401 | Duradent Dental Inc. 1160 Suncast Ln Ste 5 El Dorado Hills CA 95762-9327 Ph: (916) 933-7401 |
| NPI Number | 1275757528 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 07/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275757528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 50669 (California) | Primary |
| 261QD0000X | Clinic/center - Dental | 53264 (California) | Secondary |
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