Murieta Dental | |
7277 Lone Pine Dr Rancho Murieta CA 95683-9715 | |
(916) 354-2637 | |
(916) 354-3270 |
Full Name | Murieta Dental |
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Speciality | Dentist |
Location | 7277 Lone Pine Dr, Rancho Murieta, California |
Authorized Official Name and Position | Vixiane Sengsouvanh (CEO) |
Authorized Official Contact | 9163542637 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Murieta Dental Po Box 1451 Rancho Murieta CA 95683-1451 Ph: (916) 354-2637 | Murieta Dental 7277 Lone Pine Dr Rancho Murieta CA 95683-9715 Ph: (916) 354-2637 |
NPI Number | 1164624003 |
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Provider Enumeration Date | 06/04/2007 |
Last Update Date | 12/12/2012 |
Identifier | Type | State | Issuer |
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1164624003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 48994 (California) | Primary |