| Wackford Dental | |
|
9045 Bruceville Rd Suite #160 Elk Grove CA 95758-5948 | |
| (916) 683-3841 | |
| (916) 683-3848 |
| Full Name | Wackford Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9045 Bruceville Rd, Elk Grove, California |
| Authorized Official Name and Position | Veronica Cortes (OFFICE MANAGER) |
| Authorized Official Contact | 9166833841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wackford Dental 9045 Bruceville Rd Suite #160 Elk Grove CA 95758-5948 Ph: (916) 683-3841 | Wackford Dental 9045 Bruceville Rd Suite #160 Elk Grove CA 95758-5948 Ph: (916) 683-3841 |
| NPI Number | 1679911473 |
|---|---|
| Provider Enumeration Date | 06/13/2013 |
| Last Update Date | 06/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679911473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50364 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 47882 (California) | Secondary |
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