| Awnie A Ammar, Dds, Professional Dental Corporation | |
|
1104 N Main St Manteca CA 95336-3208 | |
| (209) 239-7779 | |
| Not Available |
| Full Name | Awnie A Ammar, Dds, Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1104 N Main St, Manteca, California |
| Authorized Official Name and Position | Awnie A Ammar (PRESIDENT) |
| Authorized Official Contact | 2092397779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awnie A Ammar, Dds, Professional Dental Corporation 1104 N Main St Manteca CA 95336-3208 Ph: (209) 239-7779 | Awnie A Ammar, Dds, Professional Dental Corporation 1104 N Main St Manteca CA 95336-3208 Ph: (209) 239-7779 |
| NPI Number | 1134316052 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134316052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 42094 (California) | Primary |
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