| Dimples Pediatric Dental | |
|
1665 Creekside Dr Ste 103 Folsom CA 95630-3538 | |
| (916) 260-5127 | |
| (916) 790-8498 |
| Full Name | Dimples Pediatric Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1665 Creekside Dr Ste 103, Folsom, California |
| Authorized Official Name and Position | Rohini Taneja Rattu (PEDIATRIC DENTIST / OWNER) |
| Authorized Official Contact | 9162605127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dimples Pediatric Dental 1665 Creekside Dr Ste 103 Folsom CA 95630-3538 Ph: (916) 260-5127 | Dimples Pediatric Dental 1665 Creekside Dr Ste 103 Folsom CA 95630-3538 Ph: (916) 260-5127 |
| NPI Number | 1699244244 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 11/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699244244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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