| Orchard Dental Group | |
|
11121 Fair Oaks Blvd Fair Oaks CA 95628-5136 | |
| (916) 961-6810 | |
| (916) 961-6445 |
| Full Name | Orchard Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 11121 Fair Oaks Blvd, Fair Oaks, California |
| Authorized Official Name and Position | Lisa Benson (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9169616810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Dental Group 11121 Fair Oaks Blvd Fair Oaks CA 95628-5136 Ph: (916) 961-6810 | Orchard Dental Group 11121 Fair Oaks Blvd Fair Oaks CA 95628-5136 Ph: (916) 961-6810 |
| NPI Number | 1437342334 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 08/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437342334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 317533 (California) | Primary |
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Mytoothspa Dentistry & Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5060 Sunrise Blvd, Suite A1, Fair Oaks, CA 95628 Phone: 916-863-0456 Fax: 916-910-0751 | |
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