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Organization
AMERICAN DENTAL SURGERY CENTERS, INC.
Active
Organization
AMERICAN DENTAL SURGERY CENTERS, INC.
Active
Other names
Stockton Dental Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE ANN KASPRZYK R.N. (PRESIDENT)
(209) 238-3589
Entity
Organization
Contact information
Practice address
1523 E. MARCH LN., SUITE 100, STOCKTON, CA 95210-5663
(209) 238-3589
Mailing address
1523 E. MARCH LANE, SUITE 100, STOCKTON, CA 95210-5663
(209) 238-3589
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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