Lodi Kids Dentist A Professional Dental Corporation
Orthodontics and Dentofacial Clinic
740 W Kettleman Ln, Lodi
California, 95240-6051
209-808-5439 Maps & DirectionsLodi Kids Dentist A Professional Dental Corporation is a Orthodontics and Dentofacial Clinic in Lodi, California. It is located at 740 W Kettleman Ln, Lodi, CA and its contact number is 209-808-5439. The authorized person for Lodi Kids Dentist A Professional Dental Corporation is Ahmed Salem
who is Ceo of the clinic and their contact number is 916-849-3174.
Lodi Kids Dentist A Professional Dental Corporation Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Lodi Kids Dentist A Professional Dental Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lodi Kids Dentist A Professional Dental Corporation |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 740 W Kettleman Ln, Lodi,
California, 95240-6051 |
| Phone: | 209-808-5439 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ahmed Salem |
| Position: | Ceo |
| Contact Number: | 916-849-3174 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lodi Kids Dentist A Professional Dental Corporation clinic are as mentioned below.
| NPI Number: | 1043143696 |
| NPI Enumeration Date: | 04 Jun, 2026 |
| NPI Last Update On: | 04 Jun, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lodi Kids Dentist A Professional Dental Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
| Orthodontics and Dentofacial Orthopedics | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lodi Kids Dentist A Professional Dental Corporation
9707 Blansfield Way,
Elk Grove, California |
| Zip: | 95757-4021 |
| Phone Number: | 916-849-3174 |
Patients can reach Lodi Kids Dentist A Professional Dental Corporation at
740 W Kettleman Ln, Lodi, California or can
call to book an appointment on 209-808-5439.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 June, 2026.