Organization
FOULADI PROFESSIONAL DENTAL CORP.
Active
Parent organization
FOULADI PROFESSIONAL DENTAL CORP.
Other names
Sacramento Oral Surgery Arden
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOULADI PROFESSIONAL DENTAL CORP.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
1737 PROFESSIONAL DR, SACRAMENTO, CA 95825-2104
(916) 482-3444
(916) 482-0405
Mailing address
1737 PROFESSIONAL DR, SACRAMENTO, CA 95825-2104
(916) 482-3444
(916) 482-0405
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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