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Organization
SERGIO VICUNA, D.D.S., INC
Active
Organization
SERGIO VICUNA, D.D.S., INC
Active
Other names
Midtown Modern Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGIO VICUNA DDS (OWNER)
(916) 246-0889
Entity
Organization
Contact information
Practice address
1804 19TH ST, SUITE 100, SACRAMENTO, CA 95811
(916) 246-0889
(916) 458-8468
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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