| Weideman Professional Dental Corporation | |
|
7916 Pebble Beach Dr Suite 101 Citrus Heights CA 95610-7790 | |
| (916) 962-0577 | |
| Not Available |
| Full Name | Weideman Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7916 Pebble Beach Dr, Citrus Heights, California |
| Authorized Official Name and Position | Cynthia L. Weideman (OWNER DENTIST) |
| Authorized Official Contact | 9169620577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weideman Professional Dental Corporation 7916 Pebble Beach Dr Suite 101 Citrus Heights CA 95610-7790 Ph: (916) 962-0577 | Weideman Professional Dental Corporation 7916 Pebble Beach Dr Suite 101 Citrus Heights CA 95610-7790 Ph: (916) 962-0577 |
| NPI Number | 1578575023 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578575023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 37753 (California) | Primary |
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