Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gill Dalla Dental Inc

Organization Dental Clinic/Center · NPI 1609403021

Gill Dalla Dental Inc is a Dental Clinic/Center in Lodi, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 W Kettleman Ln
Lodi, CA 95240-6006
Phone: (209) 366-1850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1609403021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devan Dalla — Ceo · (646) 427-6519
Other names Modern Dental And Implants; Modern Dental And Implants
NPI enumeratedMarch 25, 2020
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020
Mailing address601 W Kettleman Ln, Lodi, CA 95240-6006

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