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Organization
VACAVILLE DENTAL PROFESSIONALS
Active
Organization
VACAVILLE DENTAL PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAGAN TAPALTSYAN DDS PHD (CEO)
(707) 448-6252
Entity
Organization
Contact information
Practice address
14 CERNON ST, VACAVILLE, CA 95688-2802
(707) 448-6252
(707) 448-5550
Mailing address
14 CERNON ST, VACAVILLE, CA 95688-2802
(707) 448-6252
(707) 448-5550
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
61666
CA
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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