Healthcare Provider Details

I. General information

NPI: 1194682229
Provider Name (Legal Business Name): ACHMAN JASWAL DDS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 E BIDWELL ST STE 120
FOLSOM CA
95630-6443
US

IV. Provider business mailing address

2545 E BIDWELL ST STE 120
FOLSOM CA
95630-6443
US

V. Phone/Fax

Practice location:
  • Phone: 916-983-9929
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ACHMAN JASWAL
Title or Position: CEO
Credential: OWNER
Phone: 206-619-1155