| Dental Professional Corp. | |
|
230 Cherry Ln Manteca CA 95337-4384 | |
| (209) 823-9249 | |
| (209) 823-3390 |
| Full Name | Dental Professional Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 230 Cherry Ln, Manteca, California |
| Authorized Official Name and Position | Everett L. Low (D.D.S) |
| Authorized Official Contact | 2098239249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professional Corp. 230 Cherry Ln Manteca CA 95337-4384 Ph: (209) 823-9249 | Dental Professional Corp. 230 Cherry Ln Manteca CA 95337-4384 Ph: (209) 823-9249 |
| NPI Number | 1295981330 |
|---|---|
| Provider Enumeration Date | 08/08/2008 |
| Last Update Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295981330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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