| Fair Oaks Family Dental Office | |
|
929 N Orange Grove Blvd Pasadena CA 91103-3354 | |
| (626) 449-3700 | |
| (626) 449-8351 |
| Full Name | Fair Oaks Family Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 929 N Orange Grove Blvd, Pasadena, California |
| Authorized Official Name and Position | Sarojini K Rambhatla (PRESIDENT) |
| Authorized Official Contact | 6264493700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Oaks Family Dental Office Po Box 90456 Pasadena CA 91109-0456 Ph: (626) 449-3700 | Fair Oaks Family Dental Office 929 N Orange Grove Blvd Pasadena CA 91103-3354 Ph: (626) 449-3700 |
| NPI Number | 1295861706 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295861706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 35318 (California) | Primary |
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