Daisy G. Ison, D.m.d., Inc. | |
5345 N El Dorado St Suite 2 Stockton CA 95207-5872 | |
(209) 952-2933 | |
(209) 952-2271 |
Full Name | Daisy G. Ison, D.m.d., Inc. |
---|---|
Speciality | Dentist - General Practice |
Location | 5345 N El Dorado St, Stockton, California |
Authorized Official Name and Position | Daisy Gonzaga Ison (DENTIST) |
Authorized Official Contact | 2099522933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Daisy G. Ison, D.m.d., Inc. 5345 N El Dorado St Suite Stockton CA 95207-5872 Ph: (209) 952-2933 | Daisy G. Ison, D.m.d., Inc. 5345 N El Dorado St Suite 2 Stockton CA 95207-5872 Ph: (209) 952-2933 |
NPI Number | 1093865610 |
---|---|
Provider Enumeration Date | 01/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093865610 | NPI | - | NPPES |
1615122 | Other | PA | UNITED CONCORDIA |
542-42856 | Other | AL | BLUE CROSS |
B34120-02 | Other | CA | DELTA DENTAL |
1B0K9G | Other | MA | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 34120 (California) | Primary |
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