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3433 Arden Way Sacramento CA 95825-2018 | |
| (916) 374-7711 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3433 Arden Way, Sacramento, California |
| Authorized Official Name and Position | Monica Tavallaei (OWNER) |
| Authorized Official Contact | 9163747711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3433 Arden Way Sacramento CA 95825-2018 Ph: () - | 3433 Arden Way Sacramento CA 95825-2018 Ph: (916) 374-7711 |
| NPI Number | 1992008098 |
|---|---|
| Provider Enumeration Date | 12/10/2010 |
| Last Update Date | 01/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992008098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 48036 (California) | Primary |
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