| Amador Dental Specialties | |
|
100 French Bar Rd Suite 103 Jackson CA 95642-2557 | |
| (209) 223-3502 | |
| (209) 223-3562 |
| Full Name | Amador Dental Specialties |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 100 French Bar Rd, Jackson, California |
| Authorized Official Name and Position | Ronney Mihran Ask (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2092232096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amador Dental Specialties 100 French Bar Rd Suite 103 Jackson CA 95642-2557 Ph: (209) 223-3502 | Amador Dental Specialties 100 French Bar Rd Suite 103 Jackson CA 95642-2557 Ph: (209) 223-3502 |
| NPI Number | 1992958755 |
|---|---|
| Provider Enumeration Date | 10/24/2008 |
| Last Update Date | 10/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992958755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | B20858 (California) | Primary |
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