| Mytoothspa Dentistry And Orthodontics | |
|
6600 Madison Ave Suite 3 Carmichael CA 95608-0645 | |
| (916) 863-2660 | |
| (916) 910-0753 |
| Full Name | Mytoothspa Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6600 Madison Ave, Carmichael, California |
| Authorized Official Name and Position | Anthony Escano De Guzman (ADMINISTRATOR) |
| Authorized Official Contact | 9169195721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mytoothspa Dentistry And Orthodontics 5060 Sunrise Blvd Ste A3 Fair Oaks CA 95628-4944 Ph: (916) 863-0456 | Mytoothspa Dentistry And Orthodontics 6600 Madison Ave Suite 3 Carmichael CA 95608-0645 Ph: (916) 863-2660 |
| NPI Number | 1255728408 |
|---|---|
| Provider Enumeration Date | 04/24/2015 |
| Last Update Date | 04/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255728408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41390 (California) | Primary |
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