Organization
AZOUZ DENTAL CORP., A CALIFORNIA PROFESSIONAL CORPORATION
Active
Other names
Greenhaven Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MONIKA GUGALE DDS (CEO)
(909) 248-4253
Entity
Organization
Contact information
Practice address
930 FLORIN RD, SUITE 101, SACRAMENTO, CA 95831-5001
(916) 395-1900
Mailing address
1390 CEDAR DR, LINCOLN, CA 95648-8260
(909) 248-4253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/04/2015
Last updated
04/04/2015
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