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NPI Code Detail

MEDICARE: GATEWAY OAKS FAMILY DENTISTRY

MEDICARE: GATEWAY OAKS FAMILY DENTISTRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry54687CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112054842OTHERCAQH

General Provider Information

NPI Number : 1306254172
Entity Type Code : Organization
Provider Name (Legal Business Name) : GATEWAY OAKS FAMILY DENTISTRY
Provider Business Mailing Address
First Line : 2550 W EL CAMINO AVE
Second Line : SUITE 9
City : SACRAMENTO
State : CA
Zip : 95833-3900
Country : US
Telephone Number : 916-649-0249
Fax Number : 916-649-0258
Provider Business Practice Location Address
First Line : 2550 W EL CAMINO AVE
Second Line : SUITE 9
City : SACRAMENTO
State : CA
Zip : 95833-3900
Country : US
Telephone Number : 916-649-0249
Fax Number : 916-649-0258
Authorized Official
Title or Position : OWNER
Name : HOANG TRUONG
Credential : DDS
Telephone Number : 916-649-0249
Provider Enumeration Date : 07/24/2014
Last Update Date : 07/24/2014

Similar Medicare Providers

1962470153 — DR. RICHARD G LEONG O.D.
Practice Location Address:
2550 W EL CAMINO AVE , STE 11
SACRAMENTO, CA
95833-3900
Practice Phone: 916-921-2020
Practice Fax: 916-921-2200
1922076116 — DR. DAVIDA J DONG-LEONG O.D.
Practice Location Address:
2550 W EL CAMINO AVE , SUITE 11
SACRAMENTO, CA
95833-3900
Practice Phone: 916-921-2020
Practice Fax:
1144307380 — MR. GARY CURTIS BORGE DDS
Practice Location Address:
2550 W EL CAMINO AVE , SUITE 9
SACRAMENTO, CA
95833-3900
Practice Phone: 916-649-0249
Practice Fax: 916-649-0258
1912104357 — DR. HOANG THI TRUONG D.D.S.
Practice Location Address:
2550 W EL CAMINO AVE STE 9
SACRAMENTO, CA
95833-3900
Practice Phone: 916-649-0249
Practice Fax: 916-649-0258
1154606952 — DAVID RICHARD LEONG OD
Practice Location Address:
2550 W EL CAMINO AVE , SUITE 11
SACRAMENTO, CA
95833-3900
Practice Phone: 916-921-2020
Practice Fax: 916-921-2200
1679257760 — DAVID R LEONG OD INC
Practice Location Address:
2550 W EL CAMINO AVE STE 11
SACRAMENTO, CA
95833-3900
Practice Phone: 916-921-2020
Practice Fax:

Directions to “GATEWAY OAKS FAMILY DENTISTRY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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