| Sp Endodontics Partnershiop | |
|
1300 W Lodi Ave Ste N Lodi CA 95242-3038 | |
| (209) 368-1909 | |
| Not Available |
| Full Name | Sp Endodontics Partnershiop |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1300 W Lodi Ave Ste N, Lodi, California |
| Authorized Official Name and Position | Matthew Hatzke (ENDODONTIST/ GENERAL PARTNER) |
| Authorized Official Contact | 4082345434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sp Endodontics Partnershiop 1300 W Lodi Ave Ste N Lodi CA 95242-3038 Ph: (209) 368-1909 | Sp Endodontics Partnershiop 1300 W Lodi Ave Ste N Lodi CA 95242-3038 Ph: (209) 368-1909 |
| NPI Number | 1518566702 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 10/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518566702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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