| Folsom Dental Group | |
|
1840 Prairie City Rd Suite 200 Folsom CA 95630-9579 | |
| (916) 351-9808 | |
| (916) 351-9847 |
| Full Name | Folsom Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1840 Prairie City Rd, Folsom, California |
| Authorized Official Name and Position | Steve Samusenko (OFFICE MANAGER) |
| Authorized Official Contact | 9163519808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Folsom Dental Group 1840 Prairie City Rd Suite 200 Folsom CA 95630-9579 Ph: (916) 351-9808 | Folsom Dental Group 1840 Prairie City Rd Suite 200 Folsom CA 95630-9579 Ph: (916) 351-9808 |
| NPI Number | 1265606487 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265606487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41689 (California) | Primary |
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