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General NPI Number Information
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NPI Number | 1023956109
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Entity Type | Organization
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Legal Business Name | BLOSSOM SMILE OF SACRAMENTO PC
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 2835 EASTERN AVE STE 1
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City | SACRAMENTO
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State | CA
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Zip | 95821-5400
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Country | US
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Telephone | 279-238-4949
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Fax | 279-238-4939
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Provider Business Mailing Address
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Address Line | 2835 EASTERN AVE STE 1
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City | SACRAMENTO
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State | CA
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Zip | 95821-5400
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Country | US
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Telephone | 279-238-4949
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Fax | 279-238-4939
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Authorized Official
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Title or Position | CEO
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Name | DR. HUSSEIN ALHASAN
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Credential | DDS, MSD
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Telephone | 916-622-2098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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