Mantena Dental Corportation

LBN: Mantena Dental Corportation
Mantena Dental Corportation is an health care organization with primary practice located at 25005 Blue Ravine Rd Ste 100 , Folsom CA 95630-5706. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mantena Dental Corportation can be contacted via phone (916) 984-8050, or through Macdougall, Morgan via phone (916) 599-6767.

Contact Information

Primary practice address
25005 Blue Ravine Rd Ste 100 Folsom CA 95630-5706
Phone: (916) 984-8050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Macdougall, Morgan
Phone: (916) 599-6767

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1316555253
LBN Legal business name Mantena Dental Corportation
DBA Doing business as
Authorized official Macdougall, Morgan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2020
Last updated Jul 16th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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