| Phen Dental Professional Corporation | |
|
109 Ferrari Ranch Rd Ste 100 Lincoln CA 95648-7423 | |
| (916) 253-7000 | |
| Not Available |
| Full Name | Phen Dental Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 109 Ferrari Ranch Rd Ste 100, Lincoln, California |
| Authorized Official Name and Position | Jennifer Phen (OFFICE MANAGER) |
| Authorized Official Contact | 9163375158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phen Dental Professional Corporation 109 Ferrari Ranch Rd Ste 100 Lincoln CA 95648-7423 Ph: (916) 253-7000 | Phen Dental Professional Corporation 109 Ferrari Ranch Rd Ste 100 Lincoln CA 95648-7423 Ph: (916) 253-7000 |
| NPI Number | 1457926057 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 05/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457926057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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