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905 Secret River Dr Ste A Sacramento CA 95831-3437 | |
(916) 428-5318 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 905 Secret River Dr Ste A, Sacramento, California |
Authorized Official Name and Position | Office Manager (SECRETARY) |
Authorized Official Contact | 9164285318 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1457 Marietta Ct Folsom CA 95630-6640 Ph: (916) 769-3189 | 905 Secret River Dr Ste A Sacramento CA 95831-3437 Ph: (916) 428-5318 |
NPI Number | 1013488931 |
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Provider Enumeration Date | 12/17/2018 |
Last Update Date | 01/29/2020 |
Identifier | Type | State | Issuer |
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1013488931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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