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Organization

SP ENDODONTICS PARTNERSHIOP

Active
Other names
Lodi Endodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW HATZKE DDS (ENDODONTIST/ GENERAL PARTNER)
(408) 234-5434
Entity
Organization

Contact information

Practice address
1300 W LODI AVE STE N, LODI, CA 95242-3038
(209) 368-1909
Mailing address
1300 W LODI AVE STE N, LODI, CA 95242-3038
(209) 368-1909

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
10/20/2020
Last updated
10/20/2020
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