| Amy M Kiesselbach Dds Inc | |
|
6560 Lonetree Blvd Ste 101 Rocklin CA 95765-5891 | |
| (916) 797-3300 | |
| Not Available |
| Full Name | Amy M Kiesselbach Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6560 Lonetree Blvd Ste 101, Rocklin, California |
| Authorized Official Name and Position | Raymond Takla (OFFICE MANAGER) |
| Authorized Official Contact | 9167973300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy M Kiesselbach Dds Inc 6560 Lonetree Blvd Ste 101 Rocklin CA 95765-5891 Ph: (916) 797-3300 | Amy M Kiesselbach Dds Inc 6560 Lonetree Blvd Ste 101 Rocklin CA 95765-5891 Ph: (916) 797-3300 |
| NPI Number | 1386365138 |
|---|---|
| Provider Enumeration Date | 09/09/2022 |
| Last Update Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386365138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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