| Dental Of Lodi Pc | |
|
1 S Main St Ste 6 Lodi NJ 07644-2235 | |
| (973) 302-2066 | |
| Not Available |
| Full Name | Dental Of Lodi Pc |
|---|---|
| Speciality | Dentist |
| Location | 1 S Main St Ste 6, Lodi, New Jersey |
| Authorized Official Name and Position | Vikas Gupta (DENTIST) |
| Authorized Official Contact | 9733022066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Of Lodi Pc 1 S Main St Ste 6 Lodi NJ 07644-2235 Ph: (973) 302-2066 | Dental Of Lodi Pc 1 S Main St Ste 6 Lodi NJ 07644-2235 Ph: (973) 302-2066 |
| NPI Number | 1003364332 |
|---|---|
| Provider Enumeration Date | 09/15/2016 |
| Last Update Date | 09/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003364332 | NPI | - | NPPES |
| 1215357637 | Other | NJ | NPI |
| 1750788402 | Other | NJ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02602300 (New Jersey) | Primary |
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