| Citrus Heights Dental | |
|
6994 Sunrise Blvd Citrus Heights CA 95610-3144 | |
| (916) 723-8900 | |
| (916) 723-5168 |
| Full Name | Citrus Heights Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6994 Sunrise Blvd, Citrus Heights, California |
| Authorized Official Name and Position | Lilya Vaisman (DENTIST) |
| Authorized Official Contact | 9167238900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Heights Dental 6994 Sunrise Blvd Citrus Heights CA 95610-3144 Ph: (916) 723-8900 | Citrus Heights Dental 6994 Sunrise Blvd Citrus Heights CA 95610-3144 Ph: (916) 723-8900 |
| NPI Number | 1487788584 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487788584 | NPI | - | NPPES |
| D34245 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2 34245 (California) | Primary |
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