Institute Of Esthetic Dentistry, Inc. | |
4944 Windplay Dr Suite 300 El Dorado Hills CA 95762-9688 | |
(916) 941-2333 | |
Not Available |
Full Name | Institute Of Esthetic Dentistry, Inc. |
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Speciality | Clinic/center - Dental |
Location | 4944 Windplay Dr, El Dorado Hills, California |
Authorized Official Name and Position | Gene Alan Gowdey (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9169412333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Institute Of Esthetic Dentistry, Inc. 4944 Windplay Dr Suite 300 El Dorado Hills CA 95762-9688 Ph: (916) 941-2333 | Institute Of Esthetic Dentistry, Inc. 4944 Windplay Dr Suite 300 El Dorado Hills CA 95762-9688 Ph: (916) 941-2333 |
NPI Number | 1801093208 |
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Provider Enumeration Date | 06/28/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801093208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 38843 (California) | Primary |
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