| University California Davis Medical Center, University Dental Assoc | |
|
2521 Stockton Blvd Sacramento CA 95817-2207 | |
| (916) 734-5408 | |
| (916) 734-1299 |
| Full Name | University California Davis Medical Center, University Dental Assoc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 2521 Stockton Blvd, Sacramento, California |
| Authorized Official Name and Position | Robert Lyons (DIRECTOR DENTAL CLINIC) |
| Authorized Official Contact | 9167345408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University California Davis Medical Center, University Dental Assoc 2521 Stockton Blvd Sacramento CA 95817-2207 Ph: (916) 734-5408 | University California Davis Medical Center, University Dental Assoc 2521 Stockton Blvd Sacramento CA 95817-2207 Ph: (916) 734-5408 |
| NPI Number | 1316944465 |
|---|---|
| Provider Enumeration Date | 07/05/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316944465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 23361 (California) | Primary |
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