Dr. Cherie Diana Fiscus, D.D.S.
Dentist, General Practice in Stockton, CA. Individual provider (NPI-1).
NPI number1649544404
StatusActive
Last updated in NPPESFeb 26, 2012
Details
- NPI
- 1649544404
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cherie Diana Fiscus
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2012
- Last updated
- Feb 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 32600 | CA | Yes |
Practice location
4565 Quail Lakes DrSuite A2
Stockton, CA 95207-5294
Phone 209-473-3990
Mailing address
4565 Quail Lakes DrSuite A2
Stockton, CA 95207-5294
Phone 209-473-3990
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