| A Miracle Smile By Dr. Dezham Dental Group | |
|
2131 Capitol Ave Suite 100 Sacramento CA 95816-5755 | |
| (916) 441-3311 | |
| (916) 441-0630 |
| Full Name | A Miracle Smile By Dr. Dezham Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 2131 Capitol Ave, Sacramento, California |
| Authorized Official Name and Position | Hassan Dezham (OWNER) |
| Authorized Official Contact | 9164413311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Miracle Smile By Dr. Dezham Dental Group 2131 Capitol Ave Ste 100 Sacramento CA 95816-5755 Ph: (916) 441-3311 | A Miracle Smile By Dr. Dezham Dental Group 2131 Capitol Ave Suite 100 Sacramento CA 95816-5755 Ph: (916) 441-3311 |
| NPI Number | 1770775447 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 08/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770775447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52801 (California) | Primary |
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