Organization
ANISHA RANCHHOD DDS, INC.
Active
Other names
Lodi Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ANISHA M RANCHHOD DDS, MSD, FAACP (PRESIDENT)
(209) 333-0374
Entity
Organization
Contact information
Practice address
1300 W LODI AVE, SUITE M, LODI, CA 95242-3000
(209) 333-0374
(209) 333-0732
Mailing address
1300 W LODI AVE, SUITE M, LODI, CA 95242-3000
(209) 333-0374
(209) 333-0732
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
55990
CA
Other
Enumeration date
01/09/2017
Last updated
01/25/2017
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