| Brookside Oral & Maxillofacial Surgery | |
|
3427 Deer Park Dr Sutie B Stockton CA 95219-2355 | |
| (209) 951-9045 | |
| (209) 951-9047 |
| Full Name | Brookside Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3427 Deer Park Dr, Stockton, California |
| Authorized Official Name and Position | Nicolas S Veaco (PRESIDENT) |
| Authorized Official Contact | 2099519045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookside Oral & Maxillofacial Surgery 3427 Deer Park Dr Sutie B Stockton CA 95219-2355 Ph: (209) 951-9045 | Brookside Oral & Maxillofacial Surgery 3427 Deer Park Dr Sutie B Stockton CA 95219-2355 Ph: (209) 951-9045 |
| NPI Number | 1063685303 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 03/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063685303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | C2845379 (California) | Primary |
Stockton Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 W Robinhood Dr Ste 104, Stockton, CA 95207 Phone: 209-956-9650 Fax: 209-956-9655 | |
Martin Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 E Swain Rd, Suite 2, Stockton, CA 95210 Phone: 209-951-4251 Fax: 209-951-4822 | |
James Rore Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4255 Pacific Ave Ste 12, Stockton, CA 95207 Phone: 209-477-0222 | |
Mariatheresa G. Oronce Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 N El Dorado St, Suite 4, Stockton, CA 95204 Phone: 209-462-8361 Fax: 209-462-0262 | |
Dental Source Of California Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7616 Pacific Ave, Stockton, CA 95207 Phone: 209-952-1641 Fax: 209-952-2856 | |
Delgado Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 W. Swain Rd., Stockton, CA 95207 Phone: 209-474-8888 Fax: 209-474-3040 |