NPI | 1235877549 |
---|---|
Doing Business As | STOCKTON FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | MOHAMMAD ANOSH President 209-952-2933 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-05-25 |
Last Update Date | 2022-05-25 |