| Wellness Dental Care | |
|
9390 Big Horn Blvd Suite 175 Elk Grove CA 95758-7978 | |
| (916) 691-0685 | |
| (916) 691-0687 |
| Full Name | Wellness Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9390 Big Horn Blvd, Elk Grove, California |
| Authorized Official Name and Position | Ngoc Hoang Nguyen (PRESIDENT AND CEO) |
| Authorized Official Contact | 9166910685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Dental Care 9390 Big Horn Blvd Suite 175 Elk Grove CA 95758-7978 Ph: (916) 691-0685 | Wellness Dental Care 9390 Big Horn Blvd Suite 175 Elk Grove CA 95758-7978 Ph: (916) 691-0685 |
| NPI Number | 1942487582 |
|---|---|
| Provider Enumeration Date | 01/25/2008 |
| Last Update Date | 02/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942487582 | NPI | - | NPPES |
| B48837-02 | Other | CA | DDSGP-BILLING PROVIDER ID |
| 101467 | Other | CA | DHA PRACTICE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48837 (California) | Primary |
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