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2605 Coffee Rd Suite 200 Modesto CA 95355-2064 | |
| (209) 521-0100 | |
| (209) 521-0516 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2605 Coffee Rd, Modesto, California |
| Authorized Official Name and Position | Cherag D Sarkari (PRESIDENT) |
| Authorized Official Contact | 9165636011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8890 Cal Center Drive Sacramento CA 95826 Ph: (916) 922-5000 | 2605 Coffee Rd Suite 200 Modesto CA 95355-2064 Ph: (209) 521-0100 |
| NPI Number | 1003970740 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 09/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003970740 | NPI | - | NPPES |
| G94147-08 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50983 (California) | Primary |
Roger B. Wei, Dds, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Plaza Pkwy Ste C12, Modesto, CA 95350 Phone: 209-491-3620 | |
A S Gill Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1518 Coffee Rd Ste B, Modesto, CA 95355 Phone: 209-809-0123 | |
Stephanie Diego Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Coffee Rd Ste 8a, Modesto, CA 95355 Phone: 209-566-1990 | |