| Folsom Oral Surgery & Implant Center | |
|
2370 E. Bidwell Street Suite 13 Folsom CA 95630 | |
| (916) 983-6637 | |
| Not Available |
| Full Name | Folsom Oral Surgery & Implant Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2370 E. Bidwell Street, Folsom, California |
| Authorized Official Name and Position | Jadgev Heir (CEO/PRESIDENT) |
| Authorized Official Contact | 5184415483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Folsom Oral Surgery & Implant Center 4170 Truxel Road Suite C Sacramento CA 95834 | Folsom Oral Surgery & Implant Center 2370 E. Bidwell Street Suite 13 Folsom CA 95630 Ph: (916) 983-6637 |
| NPI Number | 1891475828 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891475828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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