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Organization
USACHOV DENTAL CORPORATION
Active
Organization
USACHOV DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEVHEN USACHOV (OWNER)
(916) 999-9970
Entity
Organization
Contact information
Practice address
6930 65TH ST STE 107B, SACRAMENTO, CA 95823-2341
(916) 999-9977
Mailing address
6624 LEMON HILL AVE APT 23, SACRAMENTO, CA 95824-2055
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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