Tunnel Creek Dental | |
2916 Tunnel St Placerville CA 95667-4562 | |
(530) 344-8000 | |
Not Available |
Full Name | Tunnel Creek Dental |
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Speciality | Dentist - General Practice |
Location | 2916 Tunnel St, Placerville, California |
Authorized Official Name and Position | James Haven Hastings (OWNER) |
Authorized Official Contact | 5303448000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tunnel Creek Dental 2916 Tunnel St Placerville CA 95667-4562 Ph: (530) 344-8000 | Tunnel Creek Dental 2916 Tunnel St Placerville CA 95667-4562 Ph: (530) 344-8000 |
NPI Number | 1245521624 |
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Provider Enumeration Date | 04/20/2011 |
Last Update Date | 04/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245521624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 28569 (California) | Primary |
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