# FOULADI PROFESSIONAL DENTAL CORP.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOULADI PROFESSIONAL DENTAL CORP.
- **Other names:** Sacramento Oral Surgery Arden
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386386514
- **Legal business name:** FOULADI PROFESSIONAL DENTAL CORP.
- **Authorized official:** CELIA HAYES (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-2100

## Contact information

- **Practice address:** 1737 PROFESSIONAL DR, SACRAMENTO, CA 95825-2104
- **Practice address phone:** (916) 482-3444
- **Practice address fax:** (916) 482-0405
- **Mailing address:** 1737 PROFESSIONAL DR, SACRAMENTO, CA 95825-2104
- **Mailing address phone:** (916) 482-3444
- **Mailing address fax:** (916) 482-0405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2022
- **Last updated:** 04/08/2022