# AMERICAN RIVER DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194918623
- **Authorized official:** DR. GUY EDWARD ACHESON DDS (SUPREME COMMANDER)
- **Authorized official phone:** (916) 362-9247

## Contact information

- **Practice address:** 10350 COLOMA RD, RANCHO CORDOVA, CA 95670-2106
- **Practice address phone:** (916) 362-9247
- **Practice address fax:** (916) 362-0153
- **Mailing address:** 10350 COLOMA RD, RANCHO CORDOVA, CA 95670-2106
- **Mailing address phone:** (916) 362-9247
- **Mailing address fax:** (916) 362-0153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D028267 | CA | Yes |

## Other

- **Enumeration date:** 08/17/2007
- **Last updated:** 08/17/2007
