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3381 Bass Lake Rd Suite 140 El Dorado Hills CA 95762 | |
(916) 545-9449 | |
(916) 604-4313 |
Full Name | |
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Speciality | Dentist |
Location | 3381 Bass Lake Rd, El Dorado Hills, California |
Authorized Official Name and Position | Melanie M Kim (DMD/OWNER) |
Authorized Official Contact | 9165459449 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 920050 Dallas TX 75392-0050 Ph: (303) 222-0296 | 3381 Bass Lake Rd Suite 140 El Dorado Hills CA 95762 Ph: (916) 545-9449 |
NPI Number | 1720611163 |
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Provider Enumeration Date | 02/13/2020 |
Last Update Date | 03/08/2022 |
Identifier | Type | State | Issuer |
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1720611163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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