| Mak And Vicuna Dental Corporation | |
|
4625 2nd St Ste 100 Davis CA 95618-9418 | |
| (530) 338-3358 | |
| (530) 338-3369 |
| Full Name | Mak And Vicuna Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 4625 2nd St Ste 100, Davis, California |
| Authorized Official Name and Position | Ryan Mak (OWNER) |
| Authorized Official Contact | 5303383358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mak And Vicuna Dental Corporation Po Box 920050 Dallas TX 75392-0050 Ph: () - | Mak And Vicuna Dental Corporation 4625 2nd St Ste 100 Davis CA 95618-9418 Ph: (530) 338-3358 |
| NPI Number | 1437917630 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437917630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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