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4363 Hazel Ave #6 Fair Oaks CA 95628 | |
| (916) 962-3500 | |
| (916) 962-3592 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 4363 Hazel Ave #6, Fair Oaks, California |
| Authorized Official Name and Position | Frank Gontarski (OWNER SOLE PROPRIETOR) |
| Authorized Official Contact | 9169623500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4363 Hazel Ave #6 Fair Oaks CA 95628 Ph: (916) 962-3500 | 4363 Hazel Ave #6 Fair Oaks CA 95628 Ph: (916) 962-3500 |
| NPI Number | 1114147576 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114147576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30217 (California) | Primary |
John L Johnson Dds And Todd L Johnson Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10425 Fair Oaks Blvd, Suite #202, Fair Oaks, CA 95628 Phone: 916-967-1199 Fax: 916-967-1239 | |
Marleen M. Masuoka, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8080 Madison Avenue, Suite 202, Fair Oaks, CA 95628 Phone: 916-966-9900 Fax: 888-647-2117 | |
M.mohamed Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4826 San Juan Ave, Fair Oaks, CA 95628 Phone: 916-536-9410 | |
James R. Musser, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10425 Fair Oaks Blvd, Suite 101, Fair Oaks, CA 95628 Phone: 916-965-3077 Fax: 916-965-3079 |