| Yolo Dental Practice | |
|
520 Cottonwood St Ste 9 Woodland CA 95695-3603 | |
| (530) 662-8100 | |
| (530) 662-8101 |
| Full Name | Yolo Dental Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 520 Cottonwood St Ste 9, Woodland, California |
| Authorized Official Name and Position | Brenda Olimpiada Dizon (DENTIST) |
| Authorized Official Contact | 5306628100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yolo Dental Practice 520 Cottonwood St Ste 9 Woodland CA 95695-3603 Ph: (530) 662-8100 | Yolo Dental Practice 520 Cottonwood St Ste 9 Woodland CA 95695-3603 Ph: (530) 662-8100 |
| NPI Number | 1053514349 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 01/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053514349 | NPI | - | NPPES |
| G92201-05 | Medicaid | CA | |
| 882840 | Other | PA | UNITED CONCORDIAN ID. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37072 (California) | Primary |
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