| Elena Ogan Dmd, Inc | |
|
183 Blue Ravine Rd Folsom CA 95630-4704 | |
| (916) 983-8870 | |
| Not Available |
| Full Name | Elena Ogan Dmd, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 183 Blue Ravine Rd, Folsom, California |
| Authorized Official Name and Position | Elena Ogan (PRESIDENT) |
| Authorized Official Contact | 2018353753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elena Ogan Dmd, Inc 183 Blue Ravine Rd Folsom CA 95630-4704 Ph: (916) 983-8870 | Elena Ogan Dmd, Inc 183 Blue Ravine Rd Folsom CA 95630-4704 Ph: (916) 983-8870 |
| NPI Number | 1073047791 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 04/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073047791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DDS100984 (California) | Primary |
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