| Sierra Periodontal Group | |
|
7916 Pebble Beach Dr Ste 104 Citrus Heights CA 95610-7790 | |
| (916) 962-0545 | |
| (916) 962-0927 |
| Full Name | Sierra Periodontal Group |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 7916 Pebble Beach Dr Ste 104, Citrus Heights, California |
| Authorized Official Name and Position | Christina S Corbitt (OFFICE MANAGER) |
| Authorized Official Contact | 9169620545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Periodontal Group 7916 Pebble Beach Dr Ste 104 Citrus Heights CA 95610-7790 Ph: (916) 962-0545 | Sierra Periodontal Group 7916 Pebble Beach Dr Ste 104 Citrus Heights CA 95610-7790 Ph: (916) 962-0545 |
| NPI Number | 1639492226 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 03/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639492226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 47415 (California) | Primary |
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