| Edward S. Gerodias, Dmd. Inc. | |
|
220 Standiford Ave Ste B Modesto CA 95350-1159 | |
| (209) 526-4244 | |
| (209) 526-0112 |
| Full Name | Edward S. Gerodias, Dmd. Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 220 Standiford Ave Ste B, Modesto, California |
| Authorized Official Name and Position | Eduardo S Gerodias (DENTIST/OWNER) |
| Authorized Official Contact | 2095264244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward S. Gerodias, Dmd. Inc. 220 Standiford Ave Ste B Modesto CA 95350-1159 Ph: (209) 526-4244 | Edward S. Gerodias, Dmd. Inc. 220 Standiford Ave Ste B Modesto CA 95350-1159 Ph: (209) 526-4244 |
| NPI Number | 1588176440 |
|---|---|
| Provider Enumeration Date | 11/01/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588176440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 46799 (California) | Primary |
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