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Organization
GATEWAY OAKS FAMILY DENTISTRY
Active
Organization
GATEWAY OAKS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOANG TRUONG DDS (OWNER)
(916) 649-0249
Entity
Organization
Contact information
Practice address
2550 W EL CAMINO AVE, SUITE 9, SACRAMENTO, CA 95833-3900
(916) 649-0249
(916) 649-0258
Mailing address
2550 W EL CAMINO AVE, SUITE 9, SACRAMENTO, CA 95833-3900
(916) 649-0249
(916) 649-0258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54687
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12054842
CAQH
—
Enumeration date
07/24/2014
Last updated
07/24/2014
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