Organization
MANUEL M. CONTRERAS DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL M CONTRERAS D.D.S (OWNER)
(209) 463-6130
Entity
Organization
Contact information
Practice address
1701 W MARCH LN STE B, STOCKTON, CA 95207-6416
(209) 463-6130
(209) 463-6297
Mailing address
1701 W MARCH LN STE B, STOCKTON, CA 95207-6416
(209) 463-6130
(209) 463-6297
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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