| Fore Dental A Professional Corporation | |
|
463 Sutton Way Grass Valley CA 95945-4102 | |
| (530) 273-1470 | |
| (530) 272-5409 |
| Full Name | Fore Dental A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 463 Sutton Way, Grass Valley, California |
| Authorized Official Name and Position | Stacy Fore (OWNER) |
| Authorized Official Contact | 5302731470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fore Dental A Professional Corporation 463 Sutton Way Grass Valley CA 95945-4102 Ph: (530) 273-1470 | Fore Dental A Professional Corporation 463 Sutton Way Grass Valley CA 95945-4102 Ph: (530) 273-1470 |
| NPI Number | 1427485259 |
|---|---|
| Provider Enumeration Date | 10/11/2013 |
| Last Update Date | 02/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427485259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40589 (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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