| Tooth Berry Kids | |
|
4850 Marconi Ave Carmichael CA 95608-4111 | |
| (916) 926-0001 | |
| (916) 926-0002 |
| Full Name | Tooth Berry Kids |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 4850 Marconi Ave, Carmichael, California |
| Authorized Official Name and Position | Mohamed Hafez Ahmed (PRESIDENT) |
| Authorized Official Contact | 9167539359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Berry Kids 1009 Eastern Ave Sacramento CA 95864-5305 Ph: (916) 753-9359 | Tooth Berry Kids 4850 Marconi Ave Carmichael CA 95608-4111 Ph: (916) 926-0001 |
| NPI Number | 1336642677 |
|---|---|
| Provider Enumeration Date | 03/13/2018 |
| Last Update Date | 03/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336642677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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