| Patient Dental | |
|
9180 Harbour Point Dr Ste 101 Elk Grove CA 95758-7160 | |
| (916) 478-0101 | |
| Not Available |
| Full Name | Patient Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9180 Harbour Point Dr Ste 101, Elk Grove, California |
| Authorized Official Name and Position | Michael Chu (PRESIDENT) |
| Authorized Official Contact | 9164780101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient Dental 9180 Harbour Point Dr Ste 101 Elk Grove CA 95758-7160 Ph: (916) 478-0101 | Patient Dental 9180 Harbour Point Dr Ste 101 Elk Grove CA 95758-7160 Ph: (916) 478-0101 |
| NPI Number | 1205288925 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205288925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 57420 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 25104 (California) | Secondary |
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