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Organization

EAST SACRAMENTO MODERN DENTISTRY, PROF. CORP

Active
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Organization

EAST SACRAMENTO MODERN DENTISTRY, PROF. CORP

Active
Other names
East Sacramento Modern Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
NAZANIN ABDEHOO DMD (OWNER)
(279) 221-8240
Entity
Organization

Contact information

Practice address
5650 FOLSOM BLVD, SACRAMENTO, CA 95819-4606
(279) 221-8240
(279) 205-2423
Mailing address
PO BOX 660041, DALLAS, TX 75266-0041
(714) 845-8890
(303) 952-0892

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
09/21/2026
Last updated
09/21/2026
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