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Organization
GIVING SMILES
Active
Organization
GIVING SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BERTSCH DENTIST (PRESIDENT)
(916) 934-8527
Entity
Organization
Contact information
Practice address
2410 FAIR OAKS BLVD, #120, SACRAMENTO, CA 95825-7663
(916) 934-8527
Mailing address
2410 FAIR OAKS BLVD, #120, SACRAMENTO, CA 95825-7663
(916) 934-8527
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
06332
CA
101YP1600X
Pastoral Counselor
L11402552
CA
122300000X
Dentist
Primary
38494
CA
133N00000X
Nutritionist
—
CA
174H00000X
Health Educator
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
08/16/2014
Last updated
08/16/2014
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