Organization
AMERICAN DENTAL SURGERY CENTERS, INC.
Active
Other names
Stockton Dental Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE ANN KASPRZYK R.N. (PRESIDENT)
(209) 238-3589
Entity
Organization
Contact information
Practice address
1523 E. MARCH LN., SUITE 100, STOCKTON, CA 95210-5663
(209) 238-3589
Mailing address
1523 E. MARCH LANE, SUITE 100, STOCKTON, CA 95210-5663
(209) 238-3589
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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