# VACAVILLE DENTAL PROFESSIONALS

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

## Provider details

- **NPI number:** 1902347537
- **Authorized official:** DR. VAGAN TAPALTSYAN DDS PHD (CEO)
- **Authorized official phone:** (707) 448-6252

## Contact information

- **Practice address:** 14 CERNON ST, VACAVILLE, CA 95688-2802
- **Practice address phone:** (707) 448-6252
- **Practice address fax:** (707) 448-5550
- **Mailing address:** 14 CERNON ST, VACAVILLE, CA 95688-2802
- **Mailing address phone:** (707) 448-6252
- **Mailing address fax:** (707) 448-5550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 61666 | CA | Yes |

## Other

- **Enumeration date:** 03/15/2017
- **Last updated:** 03/15/2017