Dental Of Lodi Pc | |
1 S Main St Ste 6 Lodi NJ 07644-2235 | |
(973) 302-2066 | |
Not Available |
Full Name | Dental Of Lodi Pc |
---|---|
Speciality | Dentist |
Location | 1 S Main St Ste 6, Lodi, New Jersey |
Authorized Official Name and Position | Vikas Gupta (DENTIST) |
Authorized Official Contact | 9733022066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Of Lodi Pc 1 S Main St Ste 6 Lodi NJ 07644-2235 Ph: (973) 302-2066 | Dental Of Lodi Pc 1 S Main St Ste 6 Lodi NJ 07644-2235 Ph: (973) 302-2066 |
NPI Number | 1003364332 |
---|---|
Provider Enumeration Date | 09/15/2016 |
Last Update Date | 09/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003364332 | NPI | - | NPPES |
1215357637 | Other | NJ | NPI |
1750788402 | Other | NJ | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 22DI02602300 (New Jersey) | Primary |
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