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9296 Vintage Park Dr Ste 100 Sacramento CA 95829-1625 | |
| (916) 689-6240 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9296 Vintage Park Dr Ste 100, Sacramento, California |
| Authorized Official Name and Position | Stephanie Sandretti (OWNER) |
| Authorized Official Contact | 9254872046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5101 Kenneth Ave Fair Oaks CA 95628-5331 Ph: (925) 487-2046 | 9296 Vintage Park Dr Ste 100 Sacramento CA 95829-1625 Ph: (916) 689-6240 |
| NPI Number | 1437722030 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437722030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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