| None | |
|
8851 Greenback Ln Orangevale CA 95662-4058 | |
| (916) 988-5559 | |
| (916) 988-5936 |
| Full Name | None |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8851 Greenback Ln, Orangevale, California |
| Authorized Official Name and Position | Omar Sattout (PRESIDENT) |
| Authorized Official Contact | 9092488417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 740 W Kettleman Ln Lodi CA 95240-6051 Ph: () - | None 8851 Greenback Ln Orangevale CA 95662-4058 Ph: (916) 988-5559 |
| NPI Number | 1932561453 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 03/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932561453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 63154 (California) | Primary |
Paolo A Poidmore, Dds, Msd, A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9197 Greenback Ln, Suite B, Orangevale, CA 95662 Phone: 916-989-2187 Fax: 916-989-2187 |