| Sierra Foothills Oral & Maxillofacial Surgery Group | |
|
2350 Professional Drive Suite 400 Roseville CA 95661-7747 | |
| (916) 786-3930 | |
| (916) 786-2435 |
| Full Name | Sierra Foothills Oral & Maxillofacial Surgery Group |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2350 Professional Drive, Roseville, California |
| Authorized Official Name and Position | Barbara Curtis (BUSINESS MANAGER) |
| Authorized Official Contact | 7072792193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Foothills Oral & Maxillofacial Surgery Group 2350 Professional Drive Suite 400 Roseville CA 95661-7747 Ph: (916) 786-3930 | Sierra Foothills Oral & Maxillofacial Surgery Group 2350 Professional Drive Suite 400 Roseville CA 95661-7747 Ph: (916) 786-3930 |
| NPI Number | 1093044927 |
|---|---|
| Provider Enumeration Date | 12/24/2009 |
| Last Update Date | 12/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093044927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 37070 (Wisconsin) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 58195 (Indiana) | Secondary |
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