| C. N. Zertuche, Inc., A Professional Dental Corporation | |
|
3340 Tully Rd Ste D3 Modesto CA 95350-0852 | |
| (209) 232-5846 | |
| Not Available |
| Full Name | C. N. Zertuche, Inc., A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3340 Tully Rd Ste D3, Modesto, California |
| Authorized Official Name and Position | Christina Nicole Lee Zertuche (PRESIDENT) |
| Authorized Official Contact | 2092325846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. N. Zertuche, Inc., A Professional Dental Corporation 3430 Tully Rd Ste 20 #516 Modesto CA 95350-0840 Ph: (209) 232-5846 | C. N. Zertuche, Inc., A Professional Dental Corporation 3340 Tully Rd Ste D3 Modesto CA 95350-0852 Ph: (209) 232-5846 |
| NPI Number | 1780121624 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 11/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780121624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 60794 (California) | Primary |
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