Organization
LODI KIDS DENTIST A PROFESSIONAL DENTAL CORPORATION
Active
Other names
Lodi Kids Dentist A Professional Dental Corporation DBA Lodi Kidz Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED SALEM DDS (CEO)
(916) 849-3174
Entity
Organization
Contact information
Practice address
740 W KETTLEMAN LN, LODI, CA 95240-6051
(209) 808-5439
Mailing address
9707 BLANSFIELD WAY, ELK GROVE, CA 95757-4021
(916) 849-3174
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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