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General NPI Number Information
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NPI Number | 1952656134
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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 | 07/13/2012
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 3309 FILLMORE ST SUITE A
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-2710
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Country | US
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Telephone | 415-735-4374
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Fax |
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Provider Business Mailing Address
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Address Line | 1164 NATIONAL DR STE 40 SUITE 40
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City | SACRAMENTO
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State | CA
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Zip | 95834-1925
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Country | US
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Telephone | 916-515-0005
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. JEFFREY A SALADIN
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Credential | DDS
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Telephone | 916-473-1783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 50143
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License Number State | CA
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