Fouladi Professional Dental Corp. | |
2503 K St Sacramento CA 95816-5101 | |
(916) 448-4500 | |
(916) 448-2322 |
Full Name | Fouladi Professional Dental Corp. |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2503 K St, Sacramento, California |
Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fouladi Professional Dental Corp. 2503 K St Sacramento CA 95816-5101 Ph: (916) 448-4500 | Fouladi Professional Dental Corp. 2503 K St Sacramento CA 95816-5101 Ph: (916) 448-4500 |
NPI Number | 1003533985 |
---|---|
Provider Enumeration Date | 10/21/2022 |
Last Update Date | 10/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003533985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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