| Jonathan Vongschanphen, Dds | |
|
2295 Fieldstone Dr Ste 230 Lincoln CA 95648-8809 | |
| (916) 435-2800 | |
| Not Available |
| Full Name | Jonathan Vongschanphen, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2295 Fieldstone Dr Ste 230, Lincoln, California |
| Authorized Official Name and Position | Bella Zaritsky (DIRECTOR) |
| Authorized Official Contact | 4804821070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Vongschanphen, Dds 2295 Fieldstone Dr Ste 230 Lincoln CA 95648-8809 Ph: (916) 435-2800 | Jonathan Vongschanphen, Dds 2295 Fieldstone Dr Ste 230 Lincoln CA 95648-8809 Ph: (916) 435-2800 |
| NPI Number | 1366262313 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366262313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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