| Stadium Dental Group | |
|
2288 Daniels St Manteca CA 95337-6706 | |
| (209) 456-5610 | |
| Not Available |
| Full Name | Stadium Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2288 Daniels St, Manteca, California |
| Authorized Official Name and Position | Robert P Nakaki (OWNER DOCTOR) |
| Authorized Official Contact | 2094565610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stadium Dental Group 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 508-3600 | Stadium Dental Group 2288 Daniels St Manteca CA 95337-6706 Ph: (209) 456-5610 |
| NPI Number | 1841471299 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 11/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841471299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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