| Manzanita Dental Group | |
|
5615 Manzanita Ave Suite A Carmichael CA 95608 | |
| (916) 333-3700 | |
| Not Available |
| Full Name | Manzanita Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5615 Manzanita Ave, Carmichael, California |
| Authorized Official Name and Position | Guncha Sohi (OWNER) |
| Authorized Official Contact | 9163333700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manzanita Dental Group 5615 Manzanita Ave Ste A Carmichael CA 95608-6570 Ph: () - | Manzanita Dental Group 5615 Manzanita Ave Suite A Carmichael CA 95608 Ph: (916) 333-3700 |
| NPI Number | 1265954184 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 07/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265954184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 65347 (California) | Primary |
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