| NPI | 1316483803 |
|---|---|
| Doing Business As | LODI PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANISHA M RANCHHOD President 209-333-0374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 55990) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-25 |