Fremont Health Center Dental Group | |
2043 E Fremont St Ste 1 Stockton CA 95205-5000 | |
(209) 463-2345 | |
(209) 463-1432 |
Full Name | Fremont Health Center Dental Group |
---|---|
Speciality | Dentist |
Location | 2043 E Fremont St Ste 1, Stockton, California |
Authorized Official Name and Position | Kelly Pippenger (O.M) |
Authorized Official Contact | 2094632345 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fremont Health Center Dental Group 2043 E Fremont St Ste 1 Stockton CA 95205-5000 Ph: (209) 463-2345 | Fremont Health Center Dental Group 2043 E Fremont St Ste 1 Stockton CA 95205-5000 Ph: (209) 463-2345 |
NPI Number | 1164622882 |
---|---|
Provider Enumeration Date | 07/20/2007 |
Last Update Date | 07/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164622882 | NPI | - | NPPES |
G89962-01 | Other | DENTICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D37743 (California) | Primary |
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