| Vpdentalcare | |
|
9320 Elk Grove Blvd 170 Elk Grove CA 95624-5062 | |
| (916) 714-5422 | |
| (916) 714-5429 |
| Full Name | Vpdentalcare |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9320 Elk Grove Blvd, Elk Grove, California |
| Authorized Official Name and Position | Vinh Phan (OWNER) |
| Authorized Official Contact | 9167145422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vpdentalcare 9320 Elk Grove Blvd 170 Elk Grove CA 95624-5062 Ph: (916) 714-5422 | Vpdentalcare 9320 Elk Grove Blvd 170 Elk Grove CA 95624-5062 Ph: (916) 714-5422 |
| NPI Number | 1801082276 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801082276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 45754 (California) | Primary |
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