Organization
ASK, KINZER, SIMPSON, AND RODA A PROFESSIONAL DENTAL CORP
Active
Other names
Amador Dental Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONNEY MIHRAN ASK D.D.S. (CHIEF FINANCIAL OFFICER)
(209) 223-2096
Entity
Organization
Contact information
Practice address
100 FRENCH BAR RD, SUITE 103, JACKSON, CA 95642-2557
(209) 223-3502
(209) 223-3562
Mailing address
100 FRENCH BAR RD, SUITE 103, JACKSON, CA 95642-2557
(209) 223-3502
(209) 223-3562
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
B20858
CA
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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