| Mission Dental | |
|
1166 Broadway Ste J Placerville CA 95667-5754 | |
| (530) 626-8626 | |
| Not Available |
| Full Name | Mission Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1166 Broadway Ste J, Placerville, California |
| Authorized Official Name and Position | Julie Ann Day (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9168377174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Dental Po Box 1043 Placerville CA 95667-1043 Ph: (530) 626-8626 | Mission Dental 1166 Broadway Ste J Placerville CA 95667-5754 Ph: (530) 626-8626 |
| NPI Number | 1689066516 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 08/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689066516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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