| Vacaville Dental Professionals | |
|
14 Cernon St Vacaville CA 95688-2802 | |
| (707) 448-6252 | |
| (707) 448-5550 |
| Full Name | Vacaville Dental Professionals |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 14 Cernon St, Vacaville, California |
| Authorized Official Name and Position | Vagan Tapaltsyan (CEO) |
| Authorized Official Contact | 7074486252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vacaville Dental Professionals 14 Cernon St Vacaville CA 95688-2802 Ph: (707) 448-6252 | Vacaville Dental Professionals 14 Cernon St Vacaville CA 95688-2802 Ph: (707) 448-6252 |
| NPI Number | 1902347537 |
|---|---|
| Provider Enumeration Date | 03/15/2017 |
| Last Update Date | 03/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902347537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 61666 (California) | Primary |
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