| Gotta Smile Dentistry | |
|
1035 W Robinhood Dr Stockton CA 95207-5621 | |
| (209) 952-3687 | |
| (209) 952-6267 |
| Full Name | Gotta Smile Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1035 W Robinhood Dr, Stockton, California |
| Authorized Official Name and Position | Carlos Jacobo (MANAGER) |
| Authorized Official Contact | 2099523687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gotta Smile Dentistry 1035 W Robinhood Dr 200 Stockton CA 95207-5621 Ph: (209) 952-3687 | Gotta Smile Dentistry 1035 W Robinhood Dr Stockton CA 95207-5621 Ph: (209) 952-3687 |
| NPI Number | 1235500455 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 10/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235500455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38433 (California) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 60242 (California) | Secondary |
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