Provider / Organization | NPI | Date Certified |
---|---|---|
SIRI K. ZIESE DDS INC. | 1174026264 | 2023-05-15 |
The organization Siri K. Ziese Dds Inc. is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1174026264. Registration indicates Siri K. Ziese Dds Inc. is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Dental, ) (Clinic/Center Dental, Ambulatory Health Care Facilities) (Clinic/Center, )
Address | City / State | Phone / Fax |
---|---|---|
1008 Fowler Way Ste A | Placerville, CA 956675701 | 5306222862 / 5306222072 |
6400 Pleasant Valley Rd | El Dorado, CA 956234230 | 5306222862 / 5306222072 |
Code | Practice | License No State |
---|---|---|
261QD0000X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Dental Clinic/Center Dental Ambulatory Health Care Facilities Clinic/Center | D56147
CA |