| Stanford Ranch Family Dentistry | |
|
5800 Stanford Ranch Rd Suite # 110 Rocklin CA 95765-4385 | |
| (916) 435-4222 | |
| (916) 435-4777 |
| Full Name | Stanford Ranch Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5800 Stanford Ranch Rd, Rocklin, California |
| Authorized Official Name and Position | Jason A Scorza (OWNER) |
| Authorized Official Contact | 9164354222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanford Ranch Family Dentistry 5800 Stanford Ranch Rd Suite # 110 Rocklin CA 95765-4385 Ph: (916) 435-4222 | Stanford Ranch Family Dentistry 5800 Stanford Ranch Rd Suite # 110 Rocklin CA 95765-4385 Ph: (916) 435-4222 |
| NPI Number | 1679646400 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 09/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679646400 | NPI | - | NPPES |
| 1449419 | Other | CA | UNITED CONCORDIA |
| 1782454 | Other | CA | UNITED CONCORDIA |
| 1360401 | Other | CA | UNITED CONDORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47793 (California) | Primary |
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