| Broadstone Dental | |
|
2784.e Bidwell St. Ste 350 Folsom CA 95630 | |
| (916) 817-2966 | |
| Not Available |
| Full Name | Broadstone Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2784.e Bidwell St. Ste 350, Folsom, California |
| Authorized Official Name and Position | H Daniel Aslani (PRESIDENT) |
| Authorized Official Contact | 9162016704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadstone Dental 2784.e Bidwell St. Ste 350 Folsom CA 95630 Ph: () - | Broadstone Dental 2784.e Bidwell St. Ste 350 Folsom CA 95630 Ph: (916) 817-2966 |
| NPI Number | 1720290216 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720290216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50562 (California) | Primary |
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