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Organization
DELGADO DENTAL INC
Active
Organization
DELGADO DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN PABLO DELGADO D.D.S. (GENERAL DENTIST)
(209) 474-8888
Entity
Organization
Contact information
Practice address
8 W. SWAIN RD., STOCKTON, CA 95207
(209) 474-8888
(209) 474-3040
Mailing address
6207 EMBARCADERO DR., STOCKTON, CA 95219
(209) 957-7336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27514
CA
Other
Enumeration date
05/14/2007
Last updated
05/29/2019
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