Individual
BIANCA CECELIA MACCHIARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3635 N FREEWAY BLVD STE 110, SACRAMENTO, CA 95834-2926
(916) 285-6691
Mailing address
2462 MULLER PL, WOODLAND, CA 95776-5463
(901) 569-0713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102539
CA
Other
Enumeration date
06/17/2018
Last updated
06/17/2018
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