| Tooth Spa Dentistry | |
|
831 Sterling Pkwy Ste 130 Lincoln CA 95648-7323 | |
| (916) 209-3708 | |
| (888) 858-1377 |
| Full Name | Tooth Spa Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 831 Sterling Pkwy Ste 130, Lincoln, California |
| Authorized Official Name and Position | Irene M Hermo (OWNER, DENTIST) |
| Authorized Official Contact | 9162093708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Spa Dentistry 831 Sterling Pkwy Ste 130 Lincoln CA 95648-7323 Ph: (916) 209-3708 | Tooth Spa Dentistry 831 Sterling Pkwy Ste 130 Lincoln CA 95648-7323 Ph: (916) 209-3708 |
| NPI Number | 1194212134 |
|---|---|
| Provider Enumeration Date | 04/16/2018 |
| Last Update Date | 04/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194212134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 58867 (California) | Primary |
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