| Greater Modesto Dental Implant &oral Surgery Center | |
|
201 E Orangeburg Ave Suite A Modesto CA 95350-5355 | |
| (209) 527-5050 | |
| (209) 527-0659 |
| Full Name | Greater Modesto Dental Implant &oral Surgery Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 201 E Orangeburg Ave, Modesto, California |
| Authorized Official Name and Position | Victoria Bruno (ADMINISTRATOR) |
| Authorized Official Contact | 2095275050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Modesto Dental Implant &oral Surgery Center 201 E Orangeburg Ave Suite A Modesto CA 95350-5355 Ph: (209) 527-5050 | Greater Modesto Dental Implant &oral Surgery Center 201 E Orangeburg Ave Suite A Modesto CA 95350-5355 Ph: (209) 527-5050 |
| NPI Number | 1326468752 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 07/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326468752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 32447 (California) | Primary |
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