Franklin Miyasaki And Rasi Professional Dental Corporation | |
630 S Fairmont Ave Ste D Lodi CA 95240-3803 | |
(209) 333-3388 | |
Not Available |
Full Name | Franklin Miyasaki And Rasi Professional Dental Corporation |
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Speciality | Clinic/center - Dental |
Location | 630 S Fairmont Ave Ste D, Lodi, California |
Authorized Official Name and Position | Stephanie Burrill (CFO) |
Authorized Official Contact | 9167180226 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Franklin Miyasaki And Rasi Professional Dental Corporation 8359 Elk Grove Florin Rd # 103-381 Sacramento CA 95829-9298 Ph: (916) 718-0226 | Franklin Miyasaki And Rasi Professional Dental Corporation 630 S Fairmont Ave Ste D Lodi CA 95240-3803 Ph: (209) 333-3388 |
NPI Number | 1790253524 |
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Provider Enumeration Date | 11/09/2018 |
Last Update Date | 11/09/2018 |
Identifier | Type | State | Issuer |
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1790253524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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