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7227 29th St # C Sacramento CA 95822-5005 | |
| (916) 221-3116 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7227 29th St # C, Sacramento, California |
| Authorized Official Name and Position | Megan Castillo (MANAGER) |
| Authorized Official Contact | 9167816550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2260 E Bidwell St # 229 Folsom CA 95630-3555 Ph: (916) 781-6550 | 7227 29th St # C Sacramento CA 95822-5005 Ph: (916) 221-3116 |
| NPI Number | 1093225088 |
|---|---|
| Provider Enumeration Date | 10/04/2017 |
| Last Update Date | 02/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093225088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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