North Valley Dental | |
770 Mason St Ste 110 Vacaville CA 95688-4648 | |
(707) 447-1010 | |
Not Available |
Full Name | North Valley Dental |
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Speciality | Dentist |
Location | 770 Mason St Ste 110, Vacaville, California |
Authorized Official Name and Position | Wayne N Pedersen (OWNER) |
Authorized Official Contact | 7074471010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Valley Dental 770 Mason St Ste 110 Vacaville CA 95688-4648 Ph: (707) 447-1010 | North Valley Dental 770 Mason St Ste 110 Vacaville CA 95688-4648 Ph: (707) 447-1010 |
NPI Number | 1730631086 |
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Provider Enumeration Date | 11/02/2016 |
Last Update Date | 11/02/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730631086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 31510 (California) | Primary |
122300000X | Dentist | 64725 (California) | Secondary |
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