Provider Demographics
NPI:1184838351
Name:SLATE, DARCE AARON (DDS)
Entity Type:Individual
Prefix:MR
First Name:DARCE
Middle Name:AARON
Last Name:SLATE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6512 LONETREE BLVD.
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765
Mailing Address - Country:US
Mailing Address - Phone:916-780-1000
Mailing Address - Fax:916-780-1022
Practice Address - Street 1:6512 LONETREE BLVD.
Practice Address - Street 2:SUITE # 100
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765
Practice Address - Country:US
Practice Address - Phone:916-780-1000
Practice Address - Fax:916-780-1022
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA501841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice