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General NPI Number Information
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NPI Number | 1851878250
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Entity Type | Organization
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Legal Business Name | DR. JEFFREY A. SALADIN, DENTAL CORP
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 101 RALEY BLVD SUITE 204
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City | CHICO
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State | CA
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Zip | 95928
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Country | US
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Telephone | 530-883-8589
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Fax | 844-534-8464
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Provider Business Mailing Address
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Address Line | 1164 NATIONAL DRIVE SUITE #40
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City | SACRAMENTO
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State | CA
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Zip | 95834
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY A SALADIN
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Credential | DDS
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Telephone | 916-333-0563
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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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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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