Nusmile Dental | |
707 E March Ln Ste 1 Stockton CA 95207-5864 | |
(209) 955-1800 | |
Not Available |
Full Name | Nusmile Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 707 E March Ln Ste 1, Stockton, California |
Authorized Official Name and Position | Rujul G Parikh (PRESIDENT & CEO) |
Authorized Official Contact | 2099551800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nusmile Dental 707 E March Ln Ste 1 Stockton CA 95207-5864 Ph: (209) 955-1800 | Nusmile Dental 707 E March Ln Ste 1 Stockton CA 95207-5864 Ph: (209) 955-1800 |
NPI Number | 1679760789 |
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Provider Enumeration Date | 10/02/2007 |
Last Update Date | 11/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679760789 | NPI | - | NPPES |
G-9410301 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | CA-46512 (California) | Primary |
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