| Fouladi Professional Dental Corp. | |
|
7551 Timberlake Way Ste 120 Sacramento CA 95823-5421 | |
| (916) 423-4092 | |
| (916) 423-3125 |
| Full Name | Fouladi Professional Dental Corp. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7551 Timberlake Way Ste 120, Sacramento, California |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fouladi Professional Dental Corp. 7551 Timberlake Way Ste 120 Sacramento CA 95823-5421 Ph: (916) 423-4092 | Fouladi Professional Dental Corp. 7551 Timberlake Way Ste 120 Sacramento CA 95823-5421 Ph: (916) 423-4092 |
| NPI Number | 1669114898 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 04/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669114898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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