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244 N Kaweah Ave Exeter CA 93221-1220 | |
(909) 663-7966 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 244 N Kaweah Ave, Exeter, California |
Authorized Official Name and Position | Stanton Edward Schuler (PRESIDENT) |
Authorized Official Contact | 9096637966 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1421 Betsy Pl Exeter CA 93221-1061 Ph: (909) 663-7966 | 244 N Kaweah Ave Exeter CA 93221-1220 Ph: (909) 663-7966 |
NPI Number | 1750803979 |
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Provider Enumeration Date | 07/10/2017 |
Last Update Date | 07/10/2017 |
Identifier | Type | State | Issuer |
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1750803979 | NPI | - | NPPES |
1750572335 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | 55060 (California) | Primary |