Individual
REZA FOULADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.D.
Contact information
Practice address
7551 TIMBERLAKE WAY STE 120, SACRAMENTO, CA 95823-5421
(949) 727-7000
(949) 727-3924
Mailing address
7551 TIMBERLAKE WAY STE 120, SACRAMENTO, CA 95823-5421
(949) 727-7000
(949) 727-3924
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
55172
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A126291
CA
Other
Enumeration date
12/08/2006
Last updated
05/21/2020
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