| Polumbo Family Dentistry Inc | |
|
316 S Auburn St Ste 2 Grass Valley CA 95945-7298 | |
| (916) 213-0870 | |
| Not Available |
| Full Name | Polumbo Family Dentistry Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 316 S Auburn St Ste 2, Grass Valley, California |
| Authorized Official Name and Position | Timothy Charles Polumbo (DR/CEO) |
| Authorized Official Contact | 9162130870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polumbo Family Dentistry Inc 1947 Pyramid Creek Dr Marysville CA 95901-8287 Ph: (916) 213-0870 | Polumbo Family Dentistry Inc 316 S Auburn St Ste 2 Grass Valley CA 95945-7298 Ph: (916) 213-0870 |
| NPI Number | 1528885381 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528885381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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