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3945 Marysville Blvd Suite 1 Sacramento CA 95838 | |
| (916) 646-4100 | |
| (916) 646-4028 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3945 Marysville Blvd, Sacramento, California |
| Authorized Official Name and Position | Cherag D Sarkari (PRESIDENT) |
| Authorized Official Contact | 9165636011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8890 Cal Center Drive Sacramento CA 95826 Ph: (916) 922-5000 | 3945 Marysville Blvd Suite 1 Sacramento CA 95838 Ph: (916) 646-4100 |
| NPI Number | 1881758522 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 03/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881758522 | NPI | - | NPPES |
| G87363-04 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50983 (California) | Primary |
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