Organization
AMEZCUA DENTAL CORPORATION
Active
Other names
MARKET WEST DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSVALDO AMEZCUA DDS (OWNER DDS)
(916) 574-9400
Entity
Organization
Contact information
Practice address
3290 ARENA BLVD, STE. 610, SACRAMENTO, CA 95834-3003
(916) 574-9400
(916) 574-9494
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
05/11/2022
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