| Suliman Orthodontics Inc. | |
|
4534 Precissi Ln Ste C Stockton CA 95207-6213 | |
| (209) 478-5168 | |
| (209) 478-2313 |
| Full Name | Suliman Orthodontics Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4534 Precissi Ln Ste C, Stockton, California |
| Authorized Official Name and Position | Sam Suliman (CEO/DENTIST-ORTHODONTIST) |
| Authorized Official Contact | 2094785168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suliman Orthodontics Inc. 4534 Precissi Ln Ste C Stockton CA 95207-6213 Ph: (209) 478-5168 | Suliman Orthodontics Inc. 4534 Precissi Ln Ste C Stockton CA 95207-6213 Ph: (209) 478-5168 |
| NPI Number | 1457842957 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 05/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457842957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 56348 (California) | Primary |
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