4.0 Dental | |
1747 Creekside Dr Ste 100 Folsom CA 95630-3928 | |
(916) 467-7920 | |
Not Available |
Full Name | 4.0 Dental |
---|---|
Speciality | Dentist |
Location | 1747 Creekside Dr Ste 100, Folsom, California |
Authorized Official Name and Position | Elizabeth Luong (OWNER/DENTIST) |
Authorized Official Contact | 4155133792 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
4.0 Dental 1747 Creekside Dr Ste 100 Folsom CA 95630-3928 Ph: (916) 467-7920 | 4.0 Dental 1747 Creekside Dr Ste 100 Folsom CA 95630-3928 Ph: (916) 467-7920 |
NPI Number | 1437646379 |
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Provider Enumeration Date | 04/17/2018 |
Last Update Date | 04/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437646379 | NPI | - | NPPES |
NA | Other | NA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 100585 (California) | Primary |
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