| Prodental | |
|
2630 Olive Hwy Suite A Oroville CA 95966-6138 | |
| (530) 534-6666 | |
| (530) 534-1040 |
| Full Name | Prodental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2630 Olive Hwy, Oroville, California |
| Authorized Official Name and Position | Amy H Pham (OWNER) |
| Authorized Official Contact | 5305346666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prodental 2630 Olive Hwy Suite A Oroville CA 95966-6138 Ph: (530) 534-6666 | Prodental 2630 Olive Hwy Suite A Oroville CA 95966-6138 Ph: (530) 534-6666 |
| NPI Number | 1083005698 |
|---|---|
| Provider Enumeration Date | 02/18/2015 |
| Last Update Date | 02/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083005698 | NPI | - | NPPES |
| 1174509848 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 52451 (California) | Primary |
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