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Organization

NICASIO ABRIOL DMD INC

Active
Parent organization
MT.PLEASANT DENTAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
MT.PLEASANT DENTAL CENTER
Authorized official
DEBBIE HENRY (MANAGER)
(209) 465-1254
Entity
Organization

Contact information

Practice address
1512 S EL DORADO ST, STOCKTON, CA 95206-2020
(209) 465-1254
(209) 465-0854
Mailing address
1512 S EL DORADO ST, STOCKTON, CA 95206-2020
(209) 465-1254
(209) 465-0854

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
43301
CA

Other

Enumeration date
09/10/2007
Last updated
09/10/2007
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