| Marconi Dental Group | |
|
6440 Fair Oaks Blvd Carmichael CA 95608-4019 | |
| (916) 487-7148 | |
| (916) 487-1468 |
| Full Name | Marconi Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 6440 Fair Oaks Blvd, Carmichael, California |
| Authorized Official Name and Position | Yuriy Timonichev (ADMIN LEAD) |
| Authorized Official Contact | 9164871468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marconi Dental Group 6440 Fair Oaks Blvd Carmichael CA 95608-4019 Ph: (916) 487-7148 | Marconi Dental Group 6440 Fair Oaks Blvd Carmichael CA 95608-4019 Ph: (916) 487-7148 |
| NPI Number | 1043822380 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043822380 | NPI | - | NPPES |
| 1639622848 | Other | CA | NPI1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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