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10928 Trinity Pkwy Stockton CA 95219-7230 | |
(209) 474-8000 | |
(209) 474-8333 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 10928 Trinity Pkwy, Stockton, California |
Authorized Official Name and Position | Carolyn Ghazal (OWNER DDS) |
Authorized Official Contact | 2094748000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 10928 Trinity Pkwy Stockton CA 95219-7230 Ph: (209) 474-8000 |
NPI Number | 1134214919 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 11/12/2013 |
Identifier | Type | State | Issuer |
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1134214919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Martin Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 E Swain Rd, Suite 2, Stockton, CA 95210 Phone: 209-951-4251 Fax: 209-951-4822 | |
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Delgado Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 W. Swain Rd., Stockton, CA 95207 Phone: 209-474-8888 Fax: 209-474-3040 |