Ghozlan Dental Corp.

NPI 1447430624 - Clinic/Center - 261QD0000X

NPI Details
NPI 1447430624
Enumeration Date 11/06/2007
Last Updated 11/06/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name AYMAN MAHMOUD AYMAN
Position DENTIST
Phone (209) 367-0700
Fax (209) 367-0717
Practice Location
1745 W KETTLEMAN LN
SUITE B
LODI CA, 95242-9287, US
Phone (209) 367-0700
Fax (209) 367-0717
Business Location
1745 W KETTLEMAN LN
SUITE B
LODI CA, 95242-9287, US
Phone (209) 367-0700
Fax (209) 367-0717
Toxanomy
Taxonomy Code 261QD0000X
License State California
License Number 46060
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According to our database, Ghozlan Dental Corp. NPI is 1447430624, taxonomy code is 261QD0000X and license number is 46060, license state is located at California. Ghozlan Dental Corp. physically located at 1745 W Kettleman Ln, Lodi CA, 95242-9287. NPI Number 1033115704 has the healthcare provider type.

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1447430624 NPI number is provided on an as is basis without warranty of any kind. 1447430624 is maintained by the National Plan & Provider Enumeration System. The contents of Ghozlan Dental Corp. are for informational purposes only.