| Pavilions Dental Group | |
|
1259 Pleasant Grove Blvd Ste. 100 Roseville CA 95678-6971 | |
| (916) 782-2010 | |
| (916) 782-2080 |
| Full Name | Pavilions Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1259 Pleasant Grove Blvd, Roseville, California |
| Authorized Official Name and Position | Charles F Rodgers (OWNER DDS) |
| Authorized Official Contact | 9167822010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavilions Dental Group 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 508-3600 | Pavilions Dental Group 1259 Pleasant Grove Blvd Ste. 100 Roseville CA 95678-6971 Ph: (916) 782-2010 |
| NPI Number | 1538254230 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 04/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538254230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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