| NPI | 1841471299 |
|---|---|
| Doing Business As | STADIUM DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ROBERT P NAKAKI Owner Doctor 209-456-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |