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6600 Madison Ave Ste 12 Carmichael CA 95608-0645 | |
(916) 961-4522 | |
(916) 961-0406 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 6600 Madison Ave Ste 12, Carmichael, California |
Authorized Official Name and Position | M. Arlenita Oquendo Gomez-croddy (PRESIDENT) |
Authorized Official Contact | 9169614522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6600 Madison Ave Ste 12 Carmichael CA 95608-0645 Ph: (916) 961-4522 | 6600 Madison Ave Ste 12 Carmichael CA 95608-0645 Ph: (916) 961-4522 |
NPI Number | 1467954545 |
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Provider Enumeration Date | 03/05/2018 |
Last Update Date | 03/05/2018 |
Identifier | Type | State | Issuer |
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1467954545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 38533 (California) | Primary |
Angel E. Soto Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6227 Fair Oaks Blvd, Carmichael, CA 95608 Phone: 916-979-7122 Fax: 916-979-7123 | |
Gary Ackerman, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6600 Madison Ave, Suite 8, Carmichael, CA 95608 Phone: 916-866-7581 | |