| Elk Grove Family Dentistry | |
|
9727 Elk Grove Florin Rd Ste 270 Elk Grove CA 95624-2290 | |
| (916) 685-2105 | |
| Not Available |
| Full Name | Elk Grove Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9727 Elk Grove Florin Rd Ste 270, Elk Grove, California |
| Authorized Official Name and Position | Sandra Fouladi (DENTIST) |
| Authorized Official Contact | 9166852105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Grove Family Dentistry 9727 Elk Grove Florin Rd Ste 270 Elk Grove CA 95624-2290 Ph: (916) 685-2105 | Elk Grove Family Dentistry 9727 Elk Grove Florin Rd Ste 270 Elk Grove CA 95624-2290 Ph: (916) 685-2105 |
| NPI Number | 1063286144 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063286144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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