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Organization
DAVINDER S. MANAK DDS. INCORPORATION
Active
Organization
DAVINDER S. MANAK DDS. INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVINDER SINGH MANAK DDS (OFFICER)
(209) 460-1223
Entity
Organization
Contact information
Practice address
1334 S CENTER ST, STOCKTON, CA 95206-1331
(209) 460-1223
(209) 460-1370
Mailing address
1334 S CENTER ST, STOCKTON, CA 95206-1331
(209) 460-1223
(209) 460-1370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G92783-01
DENTICAL PROVIDE
CA
Enumeration date
04/11/2007
Last updated
08/22/2020
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