Ivy Dental Group | |
9700 Business Park Dr Suite 400a Sacramento CA 95827-1712 | |
(916) 670-0139 | |
Not Available |
Full Name | Ivy Dental Group |
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Speciality | Dentist - General Practice |
Location | 9700 Business Park Dr, Sacramento, California |
Authorized Official Name and Position | Sameena Ahmed (PRESIDENT) |
Authorized Official Contact | 9163687889 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ivy Dental Group 184 Orange Blossom Cir Folsom CA 95630-8102 Ph: () - | Ivy Dental Group 9700 Business Park Dr Suite 400a Sacramento CA 95827-1712 Ph: (916) 670-0139 |
NPI Number | 1619346517 |
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Provider Enumeration Date | 09/21/2015 |
Last Update Date | 10/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619346517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 49441 (California) | Primary |
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