| Dignity Dental Practice | |
|
1545 Saint Marks Plz Ste 1 Stockton CA 95207-6411 | |
| (209) 957-1244 | |
| (209) 957-2591 |
| Full Name | Dignity Dental Practice |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 1545 Saint Marks Plz Ste 1, Stockton, California |
| Authorized Official Name and Position | Rommel Kaur Bal (PRESIDENT) |
| Authorized Official Contact | 2099571244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dignity Dental Practice 1545 Saint Marks Plz Ste 1 Stockton CA 95207-6411 Ph: (209) 957-1244 | Dignity Dental Practice 1545 Saint Marks Plz Ste 1 Stockton CA 95207-6411 Ph: (209) 957-1244 |
| NPI Number | 1649746066 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 07/22/2020 |
| Medicare PECOS PAC ID | 7517205602 |
|---|---|
| Medicare Enrollment ID | O20190215000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649746066 | NPI | - | NPPES |
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