Organization
ARLYN HEIDI R.DONESA D.D.S.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLYN DONESA (OWNER/DENTIST)
(209) 939-1100
Entity
Organization
Contact information
Practice address
1130 N EL DORADO ST STE 1-A, STOCKTON, CA 95202-1332
(209) 939-1100
(209) 939-1300
Mailing address
1130 N EL DORADO ST STE 1-A, STOCKTON, CA 95202-1332
(209) 939-1100
(209) 939-1300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50239
CA
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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