| Allstar Family Dentistry | |
|
2030 Coffee Rd Suite C-4 Modesto CA 95355-2413 | |
| (209) 238-9444 | |
| (209) 238-9446 |
| Full Name | Allstar Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2030 Coffee Rd, Modesto, California |
| Authorized Official Name and Position | Soe Lwin Wynn (PRESIDENT) |
| Authorized Official Contact | 2092389444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allstar Family Dentistry 2030 Coffee Road Suite C-4 Modesto CA 95355-8425 Ph: (209) 238-9444 | Allstar Family Dentistry 2030 Coffee Rd Suite C-4 Modesto CA 95355-2413 Ph: (209) 238-9444 |
| NPI Number | 1689795718 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689795718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45058 (California) | Primary |
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