Kids Care Dental & Orthodontics - Lodi Ortho | |
1361 S Lower Sacramento Rd Ste 605 Lodi CA 95242-9296 | |
(844) 616-5437 | |
Not Available |
Full Name | Kids Care Dental & Orthodontics - Lodi Ortho |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1361 S Lower Sacramento Rd Ste 605, Lodi, California |
Authorized Official Name and Position | Trevor Smith (CFO) |
Authorized Official Contact | 9163401075 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kids Care Dental & Orthodontics - Lodi Ortho 3100 Zinfandel Dr Ste 400 Rancho Cordova CA 95670-6391 Ph: () - | Kids Care Dental & Orthodontics - Lodi Ortho 1361 S Lower Sacramento Rd Ste 605 Lodi CA 95242-9296 Ph: (844) 616-5437 |
NPI Number | 1417585647 |
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Provider Enumeration Date | 04/01/2020 |
Last Update Date | 02/09/2023 |
Identifier | Type | State | Issuer |
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1417585647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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