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DR. CHRISTIAN A. BADER D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1992836829

Individual Registrant:
DR. CHRISTIAN A. BADER D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
630 S FAIRMONT AVE STE D. LODI, CA 95240-3803 US
Tel: 209-333-3388  Fax: --

Contact information for business:
630 S FAIRMONT AVE STE D. LODI, CA 95240-3803 US
Tel: 209-333-3388  Fax: --

Registration Information:
NPI: 1992836829
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA44652

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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