| M. Kucera, Dds, Inc. | |
|
150 Gateway Dr Ste 101 Lincoln CA 95648-3316 | |
| (916) 251-0170 | |
| Not Available |
| Full Name | M. Kucera, Dds, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 150 Gateway Dr Ste 101, Lincoln, California |
| Authorized Official Name and Position | Michelle Kucera (PRESIDENT) |
| Authorized Official Contact | 5302729026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Kucera, Dds, Inc. 1061 E Main St Ste 101 Grass Valley CA 95945-5724 Ph: (530) 272-9026 | M. Kucera, Dds, Inc. 150 Gateway Dr Ste 101 Lincoln CA 95648-3316 Ph: (916) 251-0170 |
| NPI Number | 1669976684 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 03/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669976684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 59153 (California) | Primary |
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