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6406 Sunrise Blvd Citrus Heights CA 95610-5992 | |
| (916) 226-6767 | |
| (916) 357-8092 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6406 Sunrise Blvd, Citrus Heights, California |
| Authorized Official Name and Position | Megan Castillo (OPERATIONS) |
| Authorized Official Contact | 9167816550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2260 E Bidwell St Folsom CA 95630-3555 Ph: () - | 6406 Sunrise Blvd Citrus Heights CA 95610-5992 Ph: (916) 226-6767 |
| NPI Number | 1710467162 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 08/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710467162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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