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1164622882
FREMONT HEALTH CENTER DENTAL GROUP
STOCKTON, CA
NPI
1164622882
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Entity Type
Organization
Authorized Contact
KELLY PIPPENGER
O.M
209-463-2345
Organization Subpart ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA D37743)
Enumeration Date
2007-07-20
Last Update Date
2008-07-16
Business Address
FREMONT HEALTH CENTER DENTAL GROUP
2043 E FREMONT ST STE 1
STOCKTON, CA 95205-5000
Phone number: 209-463-2345
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Mailing Address
FREMONT HEALTH CENTER DENTAL GROUP
2043 E FREMONT ST STE 1
STOCKTON, CA 95205-5000
Phone number: 209-463-2345
Copy
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