Dental Clinic | |
500 W Hospital Rd French Camp CA 95231-9693 | |
(209) 468-6600 | |
(209) 468-7042 |
Full Name | Dental Clinic |
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Speciality | Clinic/center - Dental |
Location | 500 W Hospital Rd, French Camp, California |
Authorized Official Name and Position | Sheela Kapre (CHIEF MEDICAL DIRECTOR) |
Authorized Official Contact | 2094686600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Clinic Po Box 1020 Stockton CA 95201-3120 Ph: (209) 468-6600 | Dental Clinic 500 W Hospital Rd French Camp CA 95231-9693 Ph: (209) 468-6600 |
NPI Number | 1700060514 |
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Provider Enumeration Date | 12/28/2007 |
Last Update Date | 08/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700060514 | NPI | - | NPPES |
G01021-01 | Other | CA | DENTI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 030000087 (California) | Primary |