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3290 Arena Blvd Ste. 610 Sacramento CA 95834-3003 | |
| (916) 574-9400 | |
| (916) 574-9494 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3290 Arena Blvd, Sacramento, California |
| Authorized Official Name and Position | Osvaldo Amezcua (OWNER DDS) |
| Authorized Official Contact | 9165749400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 920050 Dallas TX 75392-0050 Ph: (714) 508-3600 | 3290 Arena Blvd Ste. 610 Sacramento CA 95834-3003 Ph: (916) 574-9400 |
| NPI Number | 1679666432 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679666432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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