| Ronaldo Opinga Dmd Inc | |
|
531 W Kettleman Ln Lodi CA 95240-6005 | |
| (909) 354-7680 | |
| Not Available |
| Full Name | Ronaldo Opinga Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 531 W Kettleman Ln, Lodi, California |
| Authorized Official Name and Position | Ronaldo Opinga (PRESIDENT) |
| Authorized Official Contact | 9093547680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronaldo Opinga Dmd Inc 10037 Winkle Cir Elk Grove CA 95757-6275 Ph: (909) 354-7680 | Ronaldo Opinga Dmd Inc 531 W Kettleman Ln Lodi CA 95240-6005 Ph: (909) 354-7680 |
| NPI Number | 1467989426 |
|---|---|
| Provider Enumeration Date | 05/20/2017 |
| Last Update Date | 07/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467989426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 57964 (California) | Primary |
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