| 4.0 Dental | |
|
1747 Creekside Dr Ste 100 Folsom CA 95630-3928 | |
| (916) 467-7920 | |
| Not Available |
| Full Name | 4.0 Dental |
|---|---|
| Speciality | Dentist |
| Location | 1747 Creekside Dr Ste 100, Folsom, California |
| Authorized Official Name and Position | Elizabeth Luong (OWNER/DENTIST) |
| Authorized Official Contact | 4155133792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4.0 Dental 1747 Creekside Dr Ste 100 Folsom CA 95630-3928 Ph: (916) 467-7920 | 4.0 Dental 1747 Creekside Dr Ste 100 Folsom CA 95630-3928 Ph: (916) 467-7920 |
| NPI Number | 1437646379 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 04/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437646379 | NPI | - | NPPES |
| NA | Other | NA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 100585 (California) | Primary |
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