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Organization
RC DENTAL PRACTICE
Active
Organization
RC DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZSOLT KISSEVICH (OWNER)
(916) 368-0440
Entity
Organization
Contact information
Practice address
10390 COLOMA ROAD, #A, RANCHO CORDOVA, CA 95670
(916) 368-0440
(916) 368-1111
Mailing address
10390 COLOMA ROAD, #A, RANCHO CORDOVA, CA 95670
(916) 368-0440
(916) 368-1111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9287201
—
CA
Enumeration date
03/06/2007
Last updated
08/22/2020
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