Individual
DR. CHERIE DIANA FISCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4565 QUAIL LAKES DR, SUITE A2, STOCKTON, CA 95207-5294
(209) 473-3990
Mailing address
4565 QUAIL LAKES DR, SUITE A2, STOCKTON, CA 95207-5294
(209) 473-3990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32600
CA
Other
Enumeration date
02/26/2012
Last updated
02/26/2012
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