Organization
VEACO MD DDS GEORGE DDS ARREDONDO DDS A DENTAL CORPORATION
Active
Other names
Brookside Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLAS S VEACO MD, DDS (PRESIDENT)
(209) 951-9045
Entity
Organization
Contact information
Practice address
3427 DEER PARK DR, SUTIE B, STOCKTON, CA 95219-2355
(209) 951-9045
(209) 951-9047
Mailing address
3427 DEER PARK DR, SUTIE B, STOCKTON, CA 95219-2355
(209) 951-9045
(209) 951-9047
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
C2845379
CA
Other
Enumeration date
04/08/2008
Last updated
03/20/2009
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