| Stephen Nozaki Dds, Inc | |
|
3453 Brookside Rd Suite A Stockton CA 95219-1788 | |
| (209) 955-1500 | |
| (209) 955-1697 |
| Full Name | Stephen Nozaki Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 3453 Brookside Rd, Stockton, California |
| Authorized Official Name and Position | Stephen N Nozaki (OWNER) |
| Authorized Official Contact | 2099551500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Nozaki Dds, Inc 3453 Brookside Rd Suite A Stockton CA 95219-1788 Ph: (209) 955-1500 | Stephen Nozaki Dds, Inc 3453 Brookside Rd Suite A Stockton CA 95219-1788 Ph: (209) 955-1500 |
| NPI Number | 1790037737 |
|---|---|
| Provider Enumeration Date | 10/14/2012 |
| Last Update Date | 10/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790037737 | NPI | - | NPPES |
| 57165 | Other | CA | DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 57165 (California) | Primary |
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