Organization
STANDARD BEAN LLC
Active
Other names
Restore Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANMOL S BHANGU DDS (CEO)
(209) 839-7413
Entity
Organization
Contact information
Practice address
1350 W ROBINHOOD DR STE 4, STOCKTON, CA 95207-5519
(209) 839-7413
Mailing address
1350 W ROBINHOOD DR STE 4, STOCKTON, CA 95207-5519
(209) 839-7413
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
08/21/2022
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