| |
9025 Old Redwood Hwy Ste A Windsor CA 95492-8881 | |
(707) 838-3363 | |
Not Available |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 9025 Old Redwood Hwy Ste A, Windsor, California |
Authorized Official Name and Position | Andriy Shevchuk (PARTNER) |
Authorized Official Contact | 9098091089 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
9025 Old Redwood Hwy Ste A Windsor CA 95492-8881 Ph: () - | 9025 Old Redwood Hwy Ste A Windsor CA 95492-8881 Ph: (707) 838-3363 |
NPI Number | 1902396328 |
---|---|
Provider Enumeration Date | 05/10/2018 |
Last Update Date | 05/10/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902396328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Mohammed Alroshaidan, Dds, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6580 Hembree Ln Ste 255, Windsor, CA 95492 Phone: 707-836-1202 Fax: 707-836-1253 | |
Mark J. Hagele, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 19th Hole Dr, Windsor, CA 95492 Phone: 707-838-6560 | |
Tadesse Tesfamichael, Dds, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6580 Hembree Ln Ste 255, Windsor, CA 95492 Phone: 707-836-1202 | |