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Organization
KEVIN L FLEMING, DDS A PROFESSIONAL CORPORATION
Active
Organization
KEVIN L FLEMING, DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN L FLEMING DDS (PRESIDENT)
(209) 369-8218
Entity
Organization
Contact information
Practice address
828 S FAIRMONT AVE, LODI, CA 95240-5117
(209) 369-8218
(209) 368-2102
Mailing address
828 S FAIRMONT AVE, LODI, CA 95240-5117
(209) 369-8218
(209) 368-2102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40587
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4058702
—
CA
Enumeration date
05/19/2011
Last updated
06/06/2016
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