| Great Smiles Dental | |
|
3219 Mc Henry Ave, Suite E Modesto CA 95350 | |
| (209) 409-8987 | |
| (209) 322-4749 |
| Full Name | Great Smiles Dental |
|---|---|
| Speciality | Dentist |
| Location | 3219 Mc Henry Ave, Suite E, Modesto, California |
| Authorized Official Name and Position | Dalvir S Pannu (OWNER & PARTNER DENTIST) |
| Authorized Official Contact | 4088261144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Smiles Dental 3219 Mc Henry Ave, Suite E Modesto CA 95350 Ph: (209) 409-8987 | Great Smiles Dental 3219 Mc Henry Ave, Suite E Modesto CA 95350 Ph: (209) 409-8987 |
| NPI Number | 1053820522 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 09/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053820522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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