Individual provider · Type 1 NPI
Elizabeth A. Demichelis, DDS
General Practice Dentistry · Modesto, CA
NPI number
1861503765
Active
Practice location
1207 14th Street
Modesto, CA 95354
Fax (209) 552-2342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 40427 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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- Jin Sang Kwon, DDSGeneral Practice Dentistry Modesto, CA NPI 1053473736
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About NPI 1861503765
Elizabeth A. Demichelis, DDS's National Provider Identifier is 1861503765, issued on Aug 31, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.