| Rc Dental Practice | |
|
10390 Coloma Road #a Rancho Cordova CA 95670 | |
| (916) 368-0440 | |
| (916) 368-1111 |
| Full Name | Rc Dental Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10390 Coloma Road, Rancho Cordova, California |
| Authorized Official Name and Position | Zsolt Kissevich (OWNER) |
| Authorized Official Contact | 9163680440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rc Dental Practice 10390 Coloma Road #a Rancho Cordova CA 95670 Ph: (916) 368-0440 | Rc Dental Practice 10390 Coloma Road #a Rancho Cordova CA 95670 Ph: (916) 368-0440 |
| NPI Number | 1851421416 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851421416 | NPI | - | NPPES |
| G9287201 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36317 (California) | Primary |
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