| Organization Name: | DURADENT DENTAL INC. |
| NPI Number: | 1275757528 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RADOSLAW PELIKS (OWNER) |
| Mailing Address: | 1160 Suncast Ln Ste 5 El Dorado Hills |
| State: | CA US |
| Postal Code: | 957629327 |
| Phone Number: | 9169337401 |
| Fax Number: | 9169337413 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 07/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 53264 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |