| |
2525 K St Ste 301 Sacramento CA 95816-5114 | |
(916) 443-3572 | |
(916) 448-4759 |
Full Name | |
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Speciality | Dentist |
Location | 2525 K St Ste 301, Sacramento, California |
Authorized Official Name and Position | Sukhjeet Kaur (PRESIDENT) |
Authorized Official Contact | 9164433572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2525 K St Ste 301 Sacramento CA 95816-5114 Ph: (916) 443-3572 | 2525 K St Ste 301 Sacramento CA 95816-5114 Ph: (916) 443-3572 |
NPI Number | 1790103133 |
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Provider Enumeration Date | 04/02/2014 |
Last Update Date | 04/02/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790103133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 60389 (California) | Primary |
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