| Pediatric Dentistry Of West Sacramento | |
|
2101 Stone Blvd Suite 130 West Sacramento CA 95691-4044 | |
| (916) 227-8055 | |
| (916) 266-7513 |
| Full Name | Pediatric Dentistry Of West Sacramento |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2101 Stone Blvd, West Sacramento, California |
| Authorized Official Name and Position | Paul Aaron Johnson (PRESIDENT) |
| Authorized Official Contact | 9162778055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of West Sacramento 2101 Stone Blvd Suite 130 West Sacramento CA 95691-4044 Ph: (916) 227-8055 | Pediatric Dentistry Of West Sacramento 2101 Stone Blvd Suite 130 West Sacramento CA 95691-4044 Ph: (916) 227-8055 |
| NPI Number | 1235527557 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235527557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 57809 (California) | Primary |
Sacramento West Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Jefferson Blvd, West Sacramento, CA 95691 Phone: 916-372-3368 | |
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Eureka Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 759 Ikea Ct, 110, West Sacramento, CA 95605 Phone: 916-783-2273 |