Family Dental Practice | |
8006 N El Dorado St Stockton CA 95210-2306 | |
(209) 952-9290 | |
(209) 952-9292 |
Full Name | Family Dental Practice |
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Speciality | Dentist - General Practice |
Location | 8006 N El Dorado St, Stockton, California |
Authorized Official Name and Position | Huan Nguyen (PRESIDENT) |
Authorized Official Contact | 2099529290 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Dental Practice 8006 N El Dorado St Stockton CA 95210-2306 Ph: (209) 952-9290 | Family Dental Practice 8006 N El Dorado St Stockton CA 95210-2306 Ph: (209) 952-9290 |
NPI Number | 1780890392 |
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Provider Enumeration Date | 05/14/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1780890392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 49171 (California) | Primary |
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