Organization
ASK, KINZER, SIMPSON, AND RODA A PROFESSIONA DENTAL CORP
Active
Other names
Jackson Creek Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON MIHRAN ASK D.D.S. (CHIEF FINANCIAL OFFICER)
(209) 223-2096
Entity
Organization
Contact information
Practice address
100 FRENCH BAR RD, SUITE 101, JACKSON, CA 95642-2557
(209) 223-2712
(209) 223-2719
Mailing address
100 FRENCH BAR RD, SUITE 101, JACKSON, CA 95642-2557
(209) 223-2712
(209) 223-2719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
033946
CA
1223G0001X
General Practice Dentistry
Primary
26949
CA
1223G0001X
General Practice Dentistry
40117
CA
1223G0001X
General Practice Dentistry
41781
CA
Other
Enumeration date
10/21/2008
Last updated
02/18/2015
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