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1035 W Robinhood Dr Suite 200 Stockton CA 95207-5621 | |
| (209) 952-3687 | |
| (209) 952-6267 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| 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 |
|---|---|
1035 W Robinhood Dr Suite 200 Stockton CA 95207-5621 Ph: (209) 952-3687 | 1035 W Robinhood Dr Suite 200 Stockton CA 95207-5621 Ph: (209) 952-3687 |
| NPI Number | 1508124074 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508124074 | NPI | - | NPPES |
| 38433 | Other | CA | CA DENTAL STATE BOARD |
| 61240 | Other | CA | CA DENTAL BOARD |
| 60929 | Other | CA | CA DENTAL STATE BOARD |
| 100679 | Other | CA | CA DENTAL BOARD |
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