Roseville Dental Center | |
1771 Pleasant Grove Blvd Ste 180 Roseville CA 95747-8720 | |
(916) 772-3847 | |
(916) 273-3111 |
Full Name | Roseville Dental Center |
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Speciality | Clinic/center - Dental |
Location | 1771 Pleasant Grove Blvd, Roseville, California |
Authorized Official Name and Position | Henry Vong (PRESIDENT) |
Authorized Official Contact | 4155680761 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Roseville Dental Center 1771 Pleasant Grove Blvd Ste 180 Roseville CA 95747-8720 Ph: (916) 772-3847 | Roseville Dental Center 1771 Pleasant Grove Blvd Ste 180 Roseville CA 95747-8720 Ph: (916) 772-3847 |
NPI Number | 1639599129 |
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Provider Enumeration Date | 04/23/2014 |
Last Update Date | 04/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639599129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 60037 (California) | Primary |
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