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Organization
AMEZCUA DENTAL CORPORATION
Active
Organization
AMEZCUA DENTAL CORPORATION
Active
Other names
MARKET WEST DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSVALDO AMEZCUA DDS (OWNER DDS)
(916) 574-9400
Entity
Organization
Contact information
Practice address
3290 ARENA BLVD, STE. 610, SACRAMENTO, CA 95834-3003
(916) 574-9400
(916) 574-9494
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
05/11/2022
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