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905 Secret River Drive, Suite E Sacramento CA 95831 | |
| (916) 419-0358 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 905 Secret River Drive, Suite E, Sacramento, California |
| Authorized Official Name and Position | Brenda J Ho (PRESIDENT) |
| Authorized Official Contact | 9165949444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
905 Secret River Drive, Suite E Sacramento CA 95831 Ph: () - | 905 Secret River Drive, Suite E Sacramento CA 95831 Ph: (916) 419-0358 |
| NPI Number | 1477993376 |
|---|---|
| Provider Enumeration Date | 06/25/2013 |
| Last Update Date | 06/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477993376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 51077 (California) | Primary |
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