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1801 H Street Suite A7 Modesto CA 95354 | |
| (209) 572-1722 | |
| (209) 491-2010 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1801 H Street, Modesto, California |
| Authorized Official Name and Position | Fernando A Marchetti (OWNER) |
| Authorized Official Contact | 2095721739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1801 H Street Suite A7 Modesto CA 95354 Ph: (209) 572-1722 | 1801 H Street Suite A7 Modesto CA 95354 Ph: (209) 572-1722 |
| NPI Number | 1265644744 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 12/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265644744 | NPI | - | NPPES |
| 33805 | Other | CA | LICENSE NUMBER |
| B33805-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 33805 (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 | |