| Sean P. Avera D.d.s., Inc. | |
|
3113 Professional Dr Suite 5 Auburn CA 95603-2459 | |
| (530) 885-0953 | |
| (530) 885-2980 |
| Full Name | Sean P. Avera D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3113 Professional Dr, Auburn, California |
| Authorized Official Name and Position | Sean P Avera (OWNER) |
| Authorized Official Contact | 5308850953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean P. Avera D.d.s., Inc. 3113 Professional Dr Suite 5 Auburn CA 95603-2459 Ph: (530) 885-0953 | Sean P. Avera D.d.s., Inc. 3113 Professional Dr Suite 5 Auburn CA 95603-2459 Ph: (530) 885-0953 |
| NPI Number | 1023221488 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 06/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023221488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 46165 (California) | Primary |
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