| 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 |