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4350 Marconi Ave Ste 100 Sacramento CA 95821-4379 | |
| (916) 487-7148 | |
| (916) 487-1468 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 4350 Marconi Ave Ste 100, Sacramento, California |
| Authorized Official Name and Position | Ashkan Alizadeh (DENTIST / OWNER) |
| Authorized Official Contact | 9164877148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4350 Marconi Ave Ste 100 Sacramento CA 95821-4379 Ph: (916) 487-7148 | 4350 Marconi Ave Ste 100 Sacramento CA 95821-4379 Ph: (916) 487-7148 |
| NPI Number | 1225481104 |
|---|---|
| Provider Enumeration Date | 07/15/2016 |
| Last Update Date | 02/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225481104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 51543 (California) | Primary |
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