Organization
DENTAL SURGERY CENTERS OF AMERICA
Active
Other names
Delta Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVIN LARSEN (CEO)
(208) 340-1840
Entity
Organization
Contact information
Practice address
1523 E MARCH LN STE A, STOCKTON, CA 95210-5607
(209) 952-9000
(209) 373-1190
Mailing address
1523 E MARCH LN STE A, STOCKTON, CA 95210-5607
(209) 952-9000
(209) 373-1190
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
05/30/2024
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