| Standard Bean Llc | |
|
1350 W Robinhood Dr Ste 4 Stockton CA 95207-5519 | |
| (209) 839-7413 | |
| Not Available |
| Full Name | Standard Bean Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1350 W Robinhood Dr Ste 4, Stockton, California |
| Authorized Official Name and Position | Anmol S Bhangu (CEO) |
| Authorized Official Contact | 2098397413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Standard Bean Llc 1350 W Robinhood Dr Ste 4 Stockton CA 95207-5519 Ph: (209) 839-7413 | Standard Bean Llc 1350 W Robinhood Dr Ste 4 Stockton CA 95207-5519 Ph: (209) 839-7413 |
| NPI Number | 1699400226 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 08/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699400226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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