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2020 Hurley Way Suite 290 Sacramento CA 95825-3223 | |
| (916) 929-0969 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2020 Hurley Way, Sacramento, California |
| Authorized Official Name and Position | Thuy Le Vu (OWNER/PRESIDENT) |
| Authorized Official Contact | 9169290969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2020 Hurley Way Suite 290 Sacramento CA 95825-3223 Ph: (916) 929-0969 | 2020 Hurley Way Suite 290 Sacramento CA 95825-3223 Ph: (916) 929-0969 |
| NPI Number | 1669853479 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 06/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669853479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38766 (California) | Primary |
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