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Organization

WHEELER ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANISE T WHEELER (OFFICE ADMINISTRATOR)
(209) 662-0754
Entity
Organization

Contact information

Practice address
4568 FEATHER RIVER DR STE D, STOCKTON, CA 95219-6508
(209) 951-0151
(209) 951-1235
Mailing address
4568 FEATHER RIVER DR STE D, STOCKTON, CA 95219-6508
(209) 951-0151
(209) 951-1235

Taxonomy

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

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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