JOSEPH PHEN, DENTIST, A DENTAL CORPORATION
Managed Care Organizations at Elk Grove Blvd, Elk Grove, CA

License number
California 45172
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: JOSEPH PHEN D.D.S.
Title: DENTIST
Phone: (916) 691-6997
Address
Address
8351 Elk Grove Blvd STE 300, Elk Grove, CA 95758
National Provider ID: 1164820130
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOSEPH PHEN, DENTIST, A DENTAL CORPORATION

8351 Elk Grv Blvd STE 300, Elk Grove, CA 95758

Registration:
Nov 8, 2006
State ID:
C2933185
Business type:
Articles of Incorporation
Presidents:
Joseph Phen (President),Christopher Phen President, inactive

Managed Care Organizations licenses in California






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