| Zinfandel Dental Practice | |
|
2001 Zinfandel Dr Ste B5 Rancho Cordova CA 95670-4265 | |
| (916) 638-5833 | |
| (916) 638-4107 |
| Full Name | Zinfandel Dental Practice |
|---|---|
| Speciality | Dentist |
| Location | 2001 Zinfandel Dr Ste B5, Rancho Cordova, California |
| Authorized Official Name and Position | Richard Huynh Nguyen (OWNER) |
| Authorized Official Contact | 9166385833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zinfandel Dental Practice 2001 Zinfandel Dr Ste B5 Rancho Cordova CA 95670-4265 Ph: (916) 638-5833 | Zinfandel Dental Practice 2001 Zinfandel Dr Ste B5 Rancho Cordova CA 95670-4265 Ph: (916) 638-5833 |
| NPI Number | 1457541732 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 11/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457541732 | NPI | - | NPPES |
| G93130-01 | Other | CA | DENTI-CAL BILLING NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50333 (California) | Primary |
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