# A MIRACLE SMILE BY DR. DEZHAM DENTAL GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750914016
- **Authorized official:** MRS. JOYCE O ESPINOZA (OFFICE MANAGER)
- **Authorized official phone:** (916) 441-3311

## Contact information

- **Practice address:** 3009 K ST STE 255, SACRAMENTO, CA 95816-5252
- **Practice address phone:** (916) 441-3311
- **Practice address fax:** (916) 441-0630
- **Mailing address:** 3009 K ST STE 255, SACRAMENTO, CA 95816-5252
- **Mailing address phone:** (916) 441-3311
- **Mailing address fax:** (916) 441-0630

## Taxonomy

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

## Other

- **Enumeration date:** 02/14/2020
- **Last updated:** 02/14/2020