| |
9655 Folsom Blvd Sacramento CA 95827-1202 | |
(916) 857-0620 | |
(916) 857-0638 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 9655 Folsom Blvd, Sacramento, California |
Authorized Official Name and Position | Waleed Soliman (OWNER) |
Authorized Official Contact | 9168570620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9655 Folsom Blvd Sacramento CA 95827 Ph: (916) 857-0620 | 9655 Folsom Blvd Sacramento CA 95827-1202 Ph: (916) 857-0620 |
NPI Number | 1306074257 |
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Provider Enumeration Date | 06/30/2009 |
Last Update Date | 06/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306074257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 46138 (California) | Primary |
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