Daisy G. Ison, D.m.d., Inc.

NPI #1093865610 in Stockton, California

Provider Information

NPI Number: 1093865610
Entity Type: Organization
Organization Name: Daisy G. Ison, D.m.d., Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5345 N EL DORADO ST
Address 2: SUITE 2
City: Stockton
State: California
ZIP Code: 95207-5872
Phone: (209) 952-2933

Authorized Official

Name: DR. DAISY GONZAGA ISON, DDS
Title: DENTIST
Phone: (209) 952-2933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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