| Bruceville Dental | |
|
8759 Center Parkway Sacramento CA 95823 | |
| (916) 382-8900 | |
| (916) 570-8300 |
| Full Name | Bruceville Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8759 Center Parkway, Sacramento, California |
| Authorized Official Name and Position | Malissa Therese Duke (OFFICE MANAGER) |
| Authorized Official Contact | 9163828900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruceville Dental 8759 Center Parkway Sacramento CA 95823 Ph: (916) 382-8900 | Bruceville Dental 8759 Center Parkway Sacramento CA 95823 Ph: (916) 382-8900 |
| NPI Number | 1669930111 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669930111 | NPI | - | NPPES |
| 45975 | Other | CA | LICENSE |
| B86205341 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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