| David A Neal, Dds A Professional Corporation | |
|
1104 S Fairmont Ave Lodi CA 95240-5542 | |
| (209) 369-3657 | |
| Not Available |
| Full Name | David A Neal, Dds A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1104 S Fairmont Ave, Lodi, California |
| Authorized Official Name and Position | Shana Ackerman (MANAGER) |
| Authorized Official Contact | 2093693657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David A Neal, Dds A Professional Corporation 1104 S Fairmont Ave Lodi CA 95240-5542 Ph: (209) 369-3657 | David A Neal, Dds A Professional Corporation 1104 S Fairmont Ave Lodi CA 95240-5542 Ph: (209) 369-3657 |
| NPI Number | 1073265146 |
|---|---|
| Provider Enumeration Date | 01/20/2022 |
| Last Update Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073265146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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