| Smiles Depot Dental Group | |
|
1503 E March Ln Suite #b Stockton CA 95210-5600 | |
| (209) 957-8828 | |
| (209) 957-8811 |
| Full Name | Smiles Depot Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1503 E March Ln, Stockton, California |
| Authorized Official Name and Position | Karim Ahmad Samy Elnokrashy (PRESIDENT) |
| Authorized Official Contact | 2099578828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles Depot Dental Group 1503 E March Ln Suite #b Stockton CA 95210-5600 Ph: (209) 957-8828 | Smiles Depot Dental Group 1503 E March Ln Suite #b Stockton CA 95210-5600 Ph: (209) 957-8828 |
| NPI Number | 1508025826 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508025826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50906 (California) | Primary |
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