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Organization
EGGLESTON DENTAL GROUP INC
Active
Organization
EGGLESTON DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA GOMEZ (ADMINISTRATOR)
(209) 765-3286
Entity
Organization
Contact information
Practice address
2053 GEER RD, TURLOCK, CA 95382-2405
(209) 765-3286
Mailing address
2053 GEER RD, TURLOCK, CA 95382-2405
(209) 765-3286
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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