| Heritage Oak Dental | |
|
3700 Atherton Rd Rocklin CA 95765-3717 | |
| (916) 626-4050 | |
| Not Available |
| Full Name | Heritage Oak Dental |
|---|---|
| Speciality | Dentist |
| Location | 3700 Atherton Rd, Rocklin, California |
| Authorized Official Name and Position | Shane Mark Douglas (PRESIDENT) |
| Authorized Official Contact | 9166264050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Oak Dental 3700 Atherton Rd Rocklin CA 95765-3717 Ph: (916) 626-4050 | Heritage Oak Dental 3700 Atherton Rd Rocklin CA 95765-3717 Ph: (916) 626-4050 |
| NPI Number | 1447591987 |
|---|---|
| Provider Enumeration Date | 03/08/2013 |
| Last Update Date | 03/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447591987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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