| Your Great Smile,inc. A Dental Hygiene Practice Of Vange Leonis, Rdhap | |
|
900 Saint Andrews Dr Rio Vista CA 94571-9707 | |
| (415) 898-7390 | |
| (415) 898-7389 |
| Full Name | Your Great Smile,inc. A Dental Hygiene Practice Of Vange Leonis, Rdhap |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 900 Saint Andrews Dr, Rio Vista, California |
| Authorized Official Name and Position | Vange Irene Leonis (PRESIDENT) |
| Authorized Official Contact | 4158987390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Great Smile,inc. A Dental Hygiene Practice Of Vange Leonis, Rdhap 926a Diablo Ave # 122 Novato CA 94947-4025 Ph: (415) 898-7390 | Your Great Smile,inc. A Dental Hygiene Practice Of Vange Leonis, Rdhap 900 Saint Andrews Dr Rio Vista CA 94571-9707 Ph: (415) 898-7390 |
| NPI Number | 1679072417 |
|---|---|
| Provider Enumeration Date | 02/07/2018 |
| Last Update Date | 02/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679072417 | NPI | - | NPPES |
| 1841355401 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | HAP47 (California) | Primary |
Emilia N Seiferling Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 North Fifth Street, Rio Vista, CA 94571 Phone: 707-374-2828 Fax: 707-374-5093 |