OrganizationActive
A Miracle Smile By Dr. Dezham Dental Group
NPI 1770775447 · Dentist · Sacramento, CA
Provider details
- NPI number
- 1770775447
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Hassan Dezham, Owner(916) 441-3311
- License
- 52801 (CA)
Specialties & taxonomies
Dental Providers
Practice location
2131 Capitol Ave
Suite 100
Sacramento, CA 95816-5755
Phone: (916) 441-3311
Fax: (916) 441-0630
Approximate (ZIP-level) locationGet directions
Mailing address
2131 Capitol Ave Ste 100
Sacramento, CA 95816-5755
Registry dates
- Enumerated
- 2007-08-15
- Last updated
- 2007-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.