| Arden Executive Dental,inc | |
|
1611 Executive Ct Suite #1 Sacramento CA 95864-2663 | |
| (916) 481-4051 | |
| (916) 481-4416 |
| Full Name | Arden Executive Dental,inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1611 Executive Ct, Sacramento, California |
| Authorized Official Name and Position | Hanan Amini (DENTIST) |
| Authorized Official Contact | 9164814051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arden Executive Dental,inc 1611 Executive Ct # 1 Sacramento CA 95864-2663 Ph: (916) 481-4051 | Arden Executive Dental,inc 1611 Executive Ct Suite #1 Sacramento CA 95864-2663 Ph: (916) 481-4051 |
| NPI Number | 1396800397 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396800397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52340 (California) | Primary |
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