Tlc Dental Care | |
1101 W Tokay St Suite 1 Lodi CA 95240-3842 | |
(209) 334-2821 | |
(209) 365-6228 |
Full Name | Tlc Dental Care |
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Speciality | Dentist - General Practice |
Location | 1101 W Tokay St, Lodi, California |
Authorized Official Name and Position | Tamara Lea Clauson (PRESIDENT) |
Authorized Official Contact | 2093342821 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tlc Dental Care 1101 W Tokay St Suite 1 Lodi CA 95240-3842 Ph: (209) 334-2821 | Tlc Dental Care 1101 W Tokay St Suite 1 Lodi CA 95240-3842 Ph: (209) 334-2821 |
NPI Number | 1568815520 |
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Provider Enumeration Date | 07/14/2016 |
Last Update Date | 07/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568815520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 32548 (California) | Primary |
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