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Organization
DENTAL SURGERY CENTERS OF AMERICA
Active
Organization
DENTAL SURGERY CENTERS OF AMERICA
Active
Other names
Delta Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVIN LARSEN (CEO)
(208) 340-1840
Entity
Organization
Contact information
Practice address
1523 E MARCH LN STE A, STOCKTON, CA 95210-5607
(209) 952-9000
(209) 373-1190
Mailing address
1523 E MARCH LN STE A, STOCKTON, CA 95210-5607
(209) 952-9000
(209) 373-1190
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/29/2008
Last updated
05/30/2024
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