# VEACO MD DDS GEORGE DDS ARREDONDO DDS A DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookside Oral & Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063685303
- **Authorized official:** DR. NICOLAS S VEACO MD, DDS (PRESIDENT)
- **Authorized official phone:** (209) 951-9045

## Contact information

- **Practice address:** 3427 DEER PARK DR, SUTIE B, STOCKTON, CA 95219-2355
- **Practice address phone:** (209) 951-9045
- **Practice address fax:** (209) 951-9047
- **Mailing address:** 3427 DEER PARK DR, SUTIE B, STOCKTON, CA 95219-2355
- **Mailing address phone:** (209) 951-9045
- **Mailing address fax:** (209) 951-9047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | C2845379 | CA | Yes |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 03/20/2009