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5756 Pacific Ave Suite 75 Stockton CA 95207-5160 | |
(209) 472-1765 | |
(209) 472-0989 |
Full Name | |
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Speciality | Dentist |
Location | 5756 Pacific Ave, Stockton, California |
Authorized Official Name and Position | Elaine Salcido (CONTRACT SUPERVISOR) |
Authorized Official Contact | 7147085308 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2 Macarthur Pl Suite 700 Santa Ana CA 92707-5924 Ph: (714) 708-5308 | 5756 Pacific Ave Suite 75 Stockton CA 95207-5160 Ph: (209) 472-1765 |
NPI Number | 1235201930 |
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Provider Enumeration Date | 11/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1235201930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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James Rore Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4255 Pacific Ave Ste 12, Stockton, CA 95207 Phone: 209-477-0222 | |
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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 |