| Eze Dental Professional Corporation | |
|
6030 S Land Park Dr Sacramento CA 95822-3315 | |
| (916) 500-5437 | |
| (916) 244-7004 |
| Full Name | Eze Dental Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6030 S Land Park Dr, Sacramento, California |
| Authorized Official Name and Position | Kenechukwu Eze (OWNER DENTIST) |
| Authorized Official Contact | 9165005437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eze Dental Professional Corporation 6030 S Land Park Dr Sacramento CA 95822-3315 Ph: (916) 500-5437 | Eze Dental Professional Corporation 6030 S Land Park Dr Sacramento CA 95822-3315 Ph: (916) 500-5437 |
| NPI Number | 1255006805 |
|---|---|
| Provider Enumeration Date | 08/14/2021 |
| Last Update Date | 08/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255006805 | NPI | - | NPPES |
| 56954 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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