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5009 Windplay Dr Suite 1 El Dorado Hills CA 95762 | |
| (916) 941-2366 | |
| (916) 941-1443 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5009 Windplay Dr, El Dorado Hills, California |
| Authorized Official Name and Position | Jennifer R Datwyler (PRESIDENT) |
| Authorized Official Contact | 9169412341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5009 Windplay Dr Suite 1 El Dorado Hills CA 95762 Ph: (916) 941-2341 | 5009 Windplay Dr Suite 1 El Dorado Hills CA 95762 Ph: (916) 941-2366 |
| NPI Number | 1043370448 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 10/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043370448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 42679 (California) | Primary |
Jt Rawlins Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5170 Golden Foothill Pkwy, El Dorado Hills, CA 95762 Phone: 916-229-9941 | |
Bughao And Chu Dental A General Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Suncast Lane, Suite 110, El Dorado Hills, CA 95762 Phone: 916-941-0323 Fax: 916-941-0325 | |
Duradent Dental Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1160 Suncast Ln Ste 5, El Dorado Hills, CA 95762 Phone: 916-933-7401 Fax: 916-933-7413 | |
El Dorado Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4944 Windplay Dr Ste 301, El Dorado Hills, CA 95762 Phone: 530-444-4944 Fax: 530-404-0444 |