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150 Gateway Dr Ste 101 Lincoln CA 95648-3316 | |
(916) 251-0170 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 150 Gateway Dr Ste 101, Lincoln, California |
Authorized Official Name and Position | Michelle Kucera (PRESIDENT) |
Authorized Official Contact | 5302729026 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1061 E Main St Ste 101 Grass Valley CA 95945-5724 Ph: (530) 272-9026 | 150 Gateway Dr Ste 101 Lincoln CA 95648-3316 Ph: (916) 251-0170 |
NPI Number | 1669976684 |
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Provider Enumeration Date | 03/23/2018 |
Last Update Date | 03/23/2018 |
Identifier | Type | State | Issuer |
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1669976684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | 59153 (California) | Primary |
Dhillondenta Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 Millbrook Ct, Lincoln, CA 95648 Phone: 916-872-0737 | |
Tooth Spa Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 831 Sterling Pkwy Ste 130, Lincoln, CA 95648 Phone: 916-209-3708 Fax: 888-858-1377 | |
Lincoln Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2295 Fieldstone Dr Ste 100, Lincoln, CA 95648 Phone: 916-543-8800 Fax: 916-864-9112 | |
Jonathan Vongschanphen, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2295 Fieldstone Dr Ste 230, Lincoln, CA 95648 Phone: 916-435-2800 | |