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1361 S Lower Sacramento Rd Ste #601 Lodi CA 95242-9296 | |
(916) 570-1500 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 1361 S Lower Sacramento Rd, Lodi, California |
Authorized Official Name and Position | Derek Boyes (C.O.O.) |
Authorized Official Contact | 9165701500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3100 Zinfandel Dr Ste 400 Rancho Cordova CA 95670-6391 Ph: () - | 1361 S Lower Sacramento Rd Ste #601 Lodi CA 95242-9296 Ph: (916) 570-1500 |
NPI Number | 1851797203 |
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Provider Enumeration Date | 11/12/2014 |
Last Update Date | 02/09/2023 |
Identifier | Type | State | Issuer |
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1851797203 | NPI | - | NPPES |
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