| Vixiane Sengsouvanh, Dds, Inc. | |
|
7277 Lone Pine Dr Rancho Murieta CA 95683-9715 | |
| (916) 354-2637 | |
| (916) 354-3270 |
| Full Name | Vixiane Sengsouvanh, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 7277 Lone Pine Dr, Rancho Murieta, California |
| Authorized Official Name and Position | Vixiane Sengsouvanh (CEO) |
| Authorized Official Contact | 9163542637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vixiane Sengsouvanh, Dds, Inc. Po Box 1451 Rancho Murieta CA 95683-1451 Ph: (916) 354-2637 | Vixiane Sengsouvanh, Dds, Inc. 7277 Lone Pine Dr Rancho Murieta CA 95683-9715 Ph: (916) 354-2637 |
| NPI Number | 1164624003 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164624003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48994 (California) | Primary |