Organization
BELLA VISTA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHKAN ALIZADEH DDS (DENTIST)
(916) 543-4400
Entity
Organization
Contact information
Practice address
825 TWELVE BRIDGES DR, SUITE 55, LINCOLN, CA 95648-8813
(916) 543-4400
(916) 543-4968
Mailing address
825 TWELVE BRIDGES DR, SUITE 55, LINCOLN, CA 95648-8813
(916) 543-4400
(916) 543-4968
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26411
CA
122300000X
Dentist
37137
CA
122300000X
Dentist
51543
CA
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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