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DR. PHILIP JOHN ABELDT D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1770568636

Individual Registrant:
DR. PHILIP JOHN ABELDT D.D.S.
Gender: M

Location and contact information for practice:
316 S CRESCENT AVE  LODI, CA 95240-3904 US
Tel: 209-369-3617  Fax: 209-369-0498

Contact information for business:
316 S CRESCENT AVE  LODI, CA 95240-3904 US
Tel: 209-369-3617  Fax: 209-369-0498

Registration Information:
NPI: 1770568636
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA30939

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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