| Children's Choice Dental Care | |
|
1139 E. Kettleman Lane Suite 101 Lodi CA 95240 | |
| (209) 642-8990 | |
| (844) 534-8464 |
| Full Name | Children's Choice Dental Care |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1139 E. Kettleman Lane, Lodi, California |
| Authorized Official Name and Position | Jeffrey Jacobson (OWNER) |
| Authorized Official Contact | 9168777450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Choice Dental Care 3655 Torrance Blvd Ste 425 Torrance CA 90503-4844 Ph: (916) 877-7450 | Children's Choice Dental Care 1139 E. Kettleman Lane Suite 101 Lodi CA 95240 Ph: (209) 642-8990 |
| NPI Number | 1962034991 |
|---|---|
| Provider Enumeration Date | 02/07/2020 |
| Last Update Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962034991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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