|
| |
|
1930 9th St Ste 105 Sacramento CA 95811-7076 | |
| (916) 393-7336 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1930 9th St Ste 105, Sacramento, California |
| Authorized Official Name and Position | Donald Clarke (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 9164860117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1930 9th St Ste 105 Sacramento CA 95811-7076 Ph: (916) 393-7336 | 1930 9th St Ste 105 Sacramento CA 95811-7076 Ph: (916) 393-7336 |
| NPI Number | 1992720627 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992720627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 33738 (California) | Primary |
Fouladi Professional Dental Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 K St, Sacramento, CA 95816 Phone: 916-448-4500 Fax: 916-448-2322 | |
Arthur A. L. Burbridge Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7485 Rush River Dr, Suite 755, Sacramento, CA 95831 Phone: 916-428-6684 Fax: 916-428-6686 | |
S Jang Dds Incorporated Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4010 Truxel Rd # B, Sacramento, CA 95834 Phone: 916-984-4224 |