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Caton J State Dds Ms Pc
Student in an Organized Health Care Education/Training Program in Placerville, California
NPI 1215617121

Caton J State Dds Ms Pc is a Student in an Organized Health Care Education/Training Program based in Sacramento, CA. Caton J State Dds Ms Pc practices in Placerville, CA. The NPI Number for Caton J State Dds Ms Pc is 1215617121 and holds a License No. (California).

The current practice location address for Caton J State Dds Ms Pc is 3105 Cedar Ravine Road, Placerville, CA and can be reached out via phone at 530-626-6320.

Location: 3105 Cedar Ravine Road, Placerville, CA, 95834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215617121
Provider Name
Caton J State Dds Ms Pc
Credential
Provider Entity Type
Organization
Address
3105 Cedar Ravine Road, Placerville, CA, 95834
Phone Number
530-626-6320
Fax Number
Provider Enumeration Date
07/25/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3105 Cedar Ravine Road
City
Placerville
State
California
Zip
95667
Phone Number
530-626-6320
Fax Number
person
Provider Business Mailing Address Details
Address
3105 Cedar Ravine Road
City
Placerville
State
California
Zip
95667
Phone Number
530-626-6320
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
()
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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