| Campus Commons Periodontics | |
|
99 Scripps Dr Ste 200 Sacramento CA 95825-6207 | |
| (916) 929-5052 | |
| (916) 929-5416 |
| Full Name | Campus Commons Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 99 Scripps Dr, Sacramento, California |
| Authorized Official Name and Position | C Thaddeus Szymanowski (PERIODONTIST) |
| Authorized Official Contact | 9169295052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campus Commons Periodontics 99 Scripps Dr Ste 200 Sacramento CA 95825-6317 Ph: (916) 929-5052 | Campus Commons Periodontics 99 Scripps Dr Ste 200 Sacramento CA 95825-6207 Ph: (916) 929-5052 |
| NPI Number | 1548308356 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 10/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548308356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 19011 (California) | Primary |
| 1223P0300X | Dentist - Periodontics | 46331 (California) | Secondary |
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