| Sacramento West Dental Office | |
|
821 Jefferson Blvd West Sacramento CA 95691-3205 | |
| (916) 372-3368 | |
| Not Available |
| Full Name | Sacramento West Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 821 Jefferson Blvd, West Sacramento, California |
| Authorized Official Name and Position | Archana Wakode (PRESIDENT) |
| Authorized Official Contact | 9163723368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacramento West Dental Office 821 Jefferson Blvd West Sacramento CA 95691-3205 Ph: (916) 372-3368 | Sacramento West Dental Office 821 Jefferson Blvd West Sacramento CA 95691-3205 Ph: (916) 372-3368 |
| NPI Number | 1114411659 |
|---|---|
| Provider Enumeration Date | 06/19/2018 |
| Last Update Date | 05/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114411659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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