# DR FORMOLI DENTAL PRACTICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arden Park Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588592125
- **Authorized official:** DR. SHAHNAZ LALI FORMOLI DDS (OWNER)
- **Authorized official phone:** (916) 943-5882

## Contact information

- **Practice address:** 4360 ARDEN WAY STE 3, SACRAMENTO, CA 95864-3153
- **Practice address phone:** (916) 485-4800
- **Practice address fax:** (916) 620-8338
- **Mailing address:** 4360 ARDEN WAY STE 3, SACRAMENTO, CA 95864-3153
- **Mailing address phone:** (916) 485-4800
- **Mailing address fax:** (916) 620-8338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2026
- **Last updated:** 05/13/2026