Organization
ARCHANA WAKODE, DDS, INC
Active
Other names
Sacramento West Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARCHANA WAKODE DDS (PRESIDENT)
(916) 372-3368
Entity
Organization
Contact information
Practice address
821 JEFFERSON BLVD, WEST SACRAMENTO, CA 95691-3205
(916) 372-3368
Mailing address
821 JEFFERSON BLVD, WEST SACRAMENTO, CA 95691-3205
(916) 372-3368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
05/07/2020
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