Organization
S. JANG DDS INCORPORATED
Active
Other names
Smile Time Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN POOLE (OPERATIONS MANAGER)
(916) 781-6550
Entity
Organization
Contact information
Practice address
9184 E STOCKTON BLVD STE B, ELK GROVE, CA 95624-9510
(916) 984-4224
(916) 984-4248
Mailing address
2260 E BIDWELL ST, # 358, FOLSOM, CA 95630-3463
(916) 984-4224
(916) 984-4248
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
57611
CA
Other
Enumeration date
02/11/2015
Last updated
09/21/2018
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