| South River Dental Group | |
|
2455 Jefferson Blvd Suite 130 West Sacramento CA 95691 | |
| (916) 372-8062 | |
| (916) 371-1863 |
| Full Name | South River Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2455 Jefferson Blvd, West Sacramento, California |
| Authorized Official Name and Position | Amardeep Gill (OWNER) |
| Authorized Official Contact | 9163728062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South River Dental Group 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 368-2077 | South River Dental Group 2455 Jefferson Blvd Suite 130 West Sacramento CA 95691 Ph: (916) 372-8062 |
| NPI Number | 1184874026 |
|---|---|
| Provider Enumeration Date | 09/29/2008 |
| Last Update Date | 11/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184874026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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