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10544 Spenceville Rd Penn Valley CA 95946-9623 | |
(530) 432-3483 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 10544 Spenceville Rd, Penn Valley, California |
Authorized Official Name and Position | Jackie Fitzhenry (OFFICE MANAGER) |
Authorized Official Contact | 5304323483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10544 Spenceville Rd Penn Valley CA 95946-9623 Ph: (530) 432-3483 | 10544 Spenceville Rd Penn Valley CA 95946-9623 Ph: (530) 432-3483 |
NPI Number | 1386730489 |
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Provider Enumeration Date | 10/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1386730489 | NPI | - | NPPES |