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7227 29th St Sacramento CA 95822-5005 | |
| (916) 984-4224 | |
| (916) 984-4248 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 7227 29th St, Sacramento, California |
| Authorized Official Name and Position | Megan Poole (OPERATIONS MANAGER) |
| Authorized Official Contact | 9167816550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2260 E Bidwell St # 359 Folsom CA 95630-3463 Ph: (916) 984-4224 | 7227 29th St Sacramento CA 95822-5005 Ph: (916) 984-4224 |
| NPI Number | 1447634373 |
|---|---|
| Provider Enumeration Date | 07/09/2015 |
| Last Update Date | 07/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447634373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 57611 (California) | Primary |
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