| North Valley Dental | |
|
770 Mason St Ste 110 Vacaville CA 95688-4648 | |
| (707) 447-1010 | |
| Not Available |
| Full Name | North Valley Dental |
|---|---|
| Speciality | Dentist |
| Location | 770 Mason St Ste 110, Vacaville, California |
| Authorized Official Name and Position | Wayne N Pedersen (OWNER) |
| Authorized Official Contact | 7074471010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Valley Dental 770 Mason St Ste 110 Vacaville CA 95688-4648 Ph: (707) 447-1010 | North Valley Dental 770 Mason St Ste 110 Vacaville CA 95688-4648 Ph: (707) 447-1010 |
| NPI Number | 1730631086 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 11/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730631086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 64725 (California) | Secondary |
| 122300000X | Dentist | 31510 (California) | Primary |
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