| Dentists Of Lodi Dental Group | |
|
2610 Reynolds Ranch Pkwy Ste 100 Lodi CA 95240 | |
| (707) 302-0805 | |
| (707) 302-0805 |
| Full Name | Dentists Of Lodi Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 2610 Reynolds Ranch Pkwy, Lodi, California |
| Authorized Official Name and Position | Amardeep K Gill (OWNER) |
| Authorized Official Contact | 7073020805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentists Of Lodi Dental Group 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8500 | Dentists Of Lodi Dental Group 2610 Reynolds Ranch Pkwy Ste 100 Lodi CA 95240 Ph: (707) 302-0805 |
| NPI Number | 1548747082 |
|---|---|
| Provider Enumeration Date | 07/27/2018 |
| Last Update Date | 07/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548747082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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