| Blue Oak Dental Roseville | |
|
15 Sierra Gate Plz Roseville CA 95678-6602 | |
| (916) 786-6777 | |
| (916) 783-0706 |
| Full Name | Blue Oak Dental Roseville |
|---|---|
| Speciality | Dentist |
| Location | 15 Sierra Gate Plz, Roseville, California |
| Authorized Official Name and Position | Mark Arena (PC HOLDER) |
| Authorized Official Contact | 9167866777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Oak Dental Roseville 15 Sierra Gate Plz Roseville CA 95678-6602 Ph: (916) 786-6777 | Blue Oak Dental Roseville 15 Sierra Gate Plz Roseville CA 95678-6602 Ph: (916) 786-6777 |
| NPI Number | 1730117300 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 09/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730117300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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