| Oak Tree Dentistry of Lodi | |
|
369 S Lower Sacramento Rd Ste D Lodi CA 95242-3324 | |
| (209) 642-4111 | |
| (209) 642-4777 |
| Full Name | Oak Tree Dentistry of Lodi |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 369 S Lower Sacramento Rd Ste D, Lodi, California |
| Authorized Official Name and Position | Pritpal Gill (CEO) |
| Authorized Official Contact | 2096424111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Tree Dentistry of Lodi 369 S Lower Sacramento Rd Ste D Lodi CA 95242-3324 Ph: (209) 642-4111 | Oak Tree Dentistry of Lodi 369 S Lower Sacramento Rd Ste D Lodi CA 95242-3324 Ph: (209) 642-4111 |
| NPI Number | 1316695844 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/14/2022 |
| Certification Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316695844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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