Fouladi Professional Dental Corp.
Dentist, Oral and Maxillofacial Surgery in Sacramento, CA. Organization (NPI-2).
NPI number1003533985
StatusActive
Last updated in NPPESOct 21, 2022
Details
- NPI
- 1003533985
- Entity type
- Organization (NPI-2)
- Legal business name
- Fouladi Professional Dental Corp.
- Organization subpart
- Yes
- Enumeration date
- Oct 21, 2022
- Certification date
- Apr 8, 2022
- Last updated
- Oct 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | Yes |
Other names
- Sacramento Oral Surgery Midtown (Doing Business As)
Practice location
2503 K StSacramento, CA 95816-5101
Phone 916-448-4500 · Fax 916-448-2322
Mailing address
2503 K StSacramento, CA 95816-5101
Phone 916-448-4500 · Fax 916-448-2322
Authorized official
Celia Hayes
Credentialing Coordinator
2175402100
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