| Brookside Smiles | |
|
3031 W March Ln Ste 328 Stockton CA 95219-6562 | |
| (209) 594-0485 | |
| (209) 594-0720 |
| Full Name | Brookside Smiles |
|---|---|
| Speciality | Dentist |
| Location | 3031 W March Ln Ste 328, Stockton, California |
| Authorized Official Name and Position | Gursimrat K Sekhon (OWNER) |
| Authorized Official Contact | 2095940485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookside Smiles 9307 Laguna Springs Dr Suite 110 Elk Grove CA 95758-7836 Ph: (916) 691-1650 | Brookside Smiles 3031 W March Ln Ste 328 Stockton CA 95219-6562 Ph: (209) 594-0485 |
| NPI Number | 1548641152 |
|---|---|
| Provider Enumeration Date | 06/10/2015 |
| Last Update Date | 08/26/2022 |
| Medicare PECOS PAC ID | 3476981275 |
|---|---|
| Medicare Enrollment ID | O20200310000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548641152 | NPI | - | NPPES |
| Provider Name | Gursimrat K. Sekhon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326224924 PECOS PAC ID: 4385072180 Enrollment ID: I20200313001829 |
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