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4190 Truxel Rd Sacramento CA 95834-3757 | |
| (916) 928-9999 | |
| (916) 419-4567 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4190 Truxel Rd, Sacramento, California |
| Authorized Official Name and Position | Sheila N Harris (OWNER) |
| Authorized Official Contact | 9169289999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4190 Truxel Rd Sacramento CA 95834-3757 Ph: (916) 928-9999 | 4190 Truxel Rd Sacramento CA 95834-3757 Ph: (916) 928-9999 |
| NPI Number | 1831675966 |
|---|---|
| Provider Enumeration Date | 07/11/2018 |
| Last Update Date | 07/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831675966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58194 (California) | Primary |
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