Provider Demographics
NPI:1699778258
Name:WORK, JANICE RENE (DDS)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:RENE
Last Name:WORK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:PO BOX 582880
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-2880
Mailing Address - Country:US
Mailing Address - Phone:916-422-6671
Mailing Address - Fax:916-422-2928
Practice Address - Street 1:9045 BRUCEVILLE RD
Practice Address - Street 2:STE 180
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758
Practice Address - Country:US
Practice Address - Phone:916-683-7336
Practice Address - Fax:916-683-7340
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA370451223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA386-3523-1OtherEDD