| Stockton Dental Group | |
|
1036 W Robinhood Dr Ste 104 Stockton CA 95207-5622 | |
| (209) 956-9650 | |
| (209) 956-9655 |
| Full Name | Stockton Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1036 W Robinhood Dr Ste 104, Stockton, California |
| Authorized Official Name and Position | Sohail Sean Hakimi (OWNER) |
| Authorized Official Contact | 6612553130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stockton Dental Group Po Box 55368 Valencia CA 91385-0368 Ph: (661) 255-3130 | Stockton Dental Group 1036 W Robinhood Dr Ste 104 Stockton CA 95207-5622 Ph: (209) 956-9650 |
| NPI Number | 1013160530 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013160530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 39643 (California) | Primary |
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