Organization
SACRAMENTO DENTISTRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA ROMO (OFFICE MANAGER)
(916) 538-6900
Entity
Organization
Contact information
Practice address
1105 E ST, SACRAMENTO, CA 95814-0818
(916) 538-6900
(916) 538-6875
Mailing address
1105 E ST, SACRAMENTO, CA 95814-0818
(916) 538-6900
(916) 538-6875
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
57798
CA
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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