Michael C Ditolla Dds Professional Dental Corporation
Specialty details in registry · Lodi, CA
At a glance
630 S Fairmont Ave Ste D, Lodi, CA 95240-3803
NPPES record updated Apr 2, 2024. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
630 S Fairmont Ave Ste DLodi, CA 95240-3803
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 1223G0001X
- Enumeration date
- Jun 1, 2021
- Record updated
- Apr 2, 2024
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
1223G0001X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
630 S Fairmont Ave Ste DLodi, CA 95240-3803
- Phone
- (714) 420-4053
Mailing address
630 S FAIRMONT AVE STE DLODI, CA 952403803
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