Tooth Spa Dentistry | |
831 Sterling Pkwy Ste 130 Lincoln CA 95648-7323 | |
(916) 209-3708 | |
(888) 858-1377 |
Full Name | Tooth Spa Dentistry |
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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 |
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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 |
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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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