| Snow White Dental Office, Weonsuk Jang, D.m.d., Inc. | |
|
6416 Tupelo Dr Citrus Heights CA 95621-1741 | |
| (916) 729-1441 | |
| (916) 729-1551 |
| Full Name | Snow White Dental Office, Weonsuk Jang, D.m.d., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6416 Tupelo Dr, Citrus Heights, California |
| Authorized Official Name and Position | Weonsuk Jang (OWNER) |
| Authorized Official Contact | 9167291441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Snow White Dental Office, Weonsuk Jang, D.m.d., Inc. 6416 Tupelo Dr Citrus Heights CA 95621-1741 Ph: (916) 729-1441 | Snow White Dental Office, Weonsuk Jang, D.m.d., Inc. 6416 Tupelo Dr Citrus Heights CA 95621-1741 Ph: (916) 729-1441 |
| NPI Number | 1306035456 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306035456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50473 (California) | Primary |
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