| NPI | 1306198296 |
|---|---|
| Doing Business As | SACRAMENTO COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JERRY T BLIATOUT CEO 916-428-3788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2022-03-14 |