Blasingame Dental Corporation | |
4545 Quail Lakes Dr Stockton CA 95207-5257 | |
(530) 241-3302 | |
Not Available |
Full Name | Blasingame Dental Corporation |
---|---|
Speciality | Dentist - Periodontics |
Location | 4545 Quail Lakes Dr, Stockton, California |
Authorized Official Name and Position | Michelle Peters (INSURANCE BILLING COORDINATOR) |
Authorized Official Contact | 5302413302 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Blasingame Dental Corporation 384 Hartnell Ave Ste A Redding CA 96002-1884 Ph: (530) 241-3302 | Blasingame Dental Corporation 4545 Quail Lakes Dr Stockton CA 95207-5257 Ph: (530) 241-3302 |
NPI Number | 1508624222 |
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Provider Enumeration Date | 03/07/2024 |
Last Update Date | 03/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508624222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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