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Organization

U SMILE FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
POGE HER D.D.S (DENTIST/OWNER)
(916) 428-0114
Entity
Organization

Contact information

Practice address
7171 BOWLING DR STE 210, SACRAMENTO, CA 95823-2043
(916) 428-0114
(916) 428-8502
Mailing address
7171 BOWLING DR STE 210, SACRAMENTO, CA 95823-2043

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
53996
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G93858-01
MEDICAL DENTI-CAL
CA
Enumeration date
09/05/2007
Last updated
09/05/2007
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