| Sunrise Pediatric Dentistry | |
|
7806 Madison Ave Ste 200 Fair Oaks CA 95628-3593 | |
| (916) 863-7336 | |
| (916) 860-1736 |
| Full Name | Sunrise Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7806 Madison Ave Ste 200, Fair Oaks, California |
| Authorized Official Name and Position | Joseph Rawlins (OWNER) |
| Authorized Official Contact | 9168637336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Pediatric Dentistry 7806 Madison Ave Ste 200 Fair Oaks CA 95628-3593 Ph: (916) 863-7336 | Sunrise Pediatric Dentistry 7806 Madison Ave Ste 200 Fair Oaks CA 95628-3593 Ph: (916) 863-7336 |
| NPI Number | 1275887374 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275887374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2-56958 (California) | Primary |
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