| NPI | 1548747082 |
|---|---|
| Doing Business As | DENTISTS OF LODI DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | AMARDEEP K GILL Owner 707-302-0805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |