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2465 Iron Point Rd Ste. 120 Folsom CA 95630-8710 | |
| (916) 984-9600 | |
| (916) 984-9076 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2465 Iron Point Rd, Folsom, California |
| Authorized Official Name and Position | Ryan O'donnell (OWNER DDS) |
| Authorized Official Contact | 9169849600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 2465 Iron Point Rd Ste. 120 Folsom CA 95630-8710 Ph: (916) 984-9600 |
| NPI Number | 1225123003 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 09/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225123003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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