|
| |
|
4350 Marconi Ave Ste 100 Sacramento CA 95821-4379 | |
| (916) 487-7148 | |
| (916) 487-1468 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4350 Marconi Ave Ste 100, Sacramento, California |
| Authorized Official Name and Position | Ashkan Alizadeh (OWNER) |
| Authorized Official Contact | 9164877148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4350 Marconi Ave #100 Sacramento CA 95821 Ph: (916) 487-7148 | 4350 Marconi Ave Ste 100 Sacramento CA 95821-4379 Ph: (916) 487-7148 |
| NPI Number | 1558614255 |
|---|---|
| Provider Enumeration Date | 10/18/2012 |
| Last Update Date | 11/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558614255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51543 (California) | Primary |
| 305R00000X | Preferred Provider Organization | (California) | Secondary |
Fouladi Professional Dental Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 K St, Sacramento, CA 95816 Phone: 916-448-4500 Fax: 916-448-2322 | |
Arthur A. L. Burbridge Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7485 Rush River Dr, Suite 755, Sacramento, CA 95831 Phone: 916-428-6684 Fax: 916-428-6686 | |
S Jang Dds Incorporated Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4010 Truxel Rd # B, Sacramento, CA 95834 Phone: 916-984-4224 |