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General NPI Number Information
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NPI Number | 1841183944
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Entity Type | Organization
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Legal Business Name | MATTHEW SANDRETTI DDS MSD INC
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 9727 ELK GROVE FLORIN RD STE 280
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City | ELK GROVE
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State | CA
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Zip | 95624-2290
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Country | US
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Telephone | 916-479-3432
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Fax | 916-905-1240
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Provider Business Mailing Address
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Address Line | 8359 ELK GROVE FLORIN RD STE 103-362
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City | SACRAMENTO
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State | CA
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Zip | 95829-9298
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Country | US
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Telephone | 916-479-3432
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | JEN SASO
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Credential |
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Telephone | 916-479-3432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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