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3307 Alta Arden Expy Sacramento CA 95825-2102 | |
| (916) 974-1819 | |
| (916) 974-7568 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3307 Alta Arden Expy, Sacramento, California |
| Authorized Official Name and Position | Hwa Youn Kim (PRESIDENT) |
| Authorized Official Contact | 9169741819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3307 Alta Arden Expy Sacramento CA 95825-2102 Ph: (916) 974-1819 | 3307 Alta Arden Expy Sacramento CA 95825-2102 Ph: (916) 974-1819 |
| NPI Number | 1194999219 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194999219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 45891 (California) | Primary |
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