| Make a Smile | |
|
2190 E Bidwell St Folsom CA 95630-6453 | |
| (916) 984-0304 | |
| (916) 983-9012 |
| Full Name | Make a Smile |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2190 E Bidwell St, Folsom, California |
| Authorized Official Name and Position | Megan Poole (OPERATIONS MANAGER) |
| Authorized Official Contact | 9167816550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Make a Smile 2260 E Bidwell St # 314 Folsom CA 95630-3463 Ph: (916) 984-0304 | Make a Smile 2190 E Bidwell St Folsom CA 95630-6453 Ph: (916) 984-0304 |
| NPI Number | 1194115154 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194115154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 57611 (California) | Primary |
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