| Elk Grove Dental Group | |
|
9640 Bruceville Rd Suite 101 Elk Grove CA 95757-5950 | |
| (916) 686-9030 | |
| (916) 686-9033 |
| Full Name | Elk Grove Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9640 Bruceville Rd, Elk Grove, California |
| Authorized Official Name and Position | Inaksh Johal (CONTRACTS ADMINISTRATOR) |
| Authorized Official Contact | 9166869030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Grove Dental Group 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 508-3600 | Elk Grove Dental Group 9640 Bruceville Rd Suite 101 Elk Grove CA 95757-5950 Ph: (916) 686-9030 |
| NPI Number | 1114109386 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 11/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114109386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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