| Miller Skinner And Dastrup Dental Corporation Of Modesto | |
|
1317 Oakdale Rd Ste 220 Modesto CA 95355-3362 | |
| (480) 452-3022 | |
| Not Available |
| Full Name | Miller Skinner And Dastrup Dental Corporation Of Modesto |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1317 Oakdale Rd Ste 220, Modesto, California |
| Authorized Official Name and Position | Nathan William Miller (OWNER) |
| Authorized Official Contact | 4804523022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Skinner And Dastrup Dental Corporation Of Modesto 552 W 26th St Merced CA 95340-2837 Ph: (480) 452-3022 | Miller Skinner And Dastrup Dental Corporation Of Modesto 1317 Oakdale Rd Ste 220 Modesto CA 95355-3362 Ph: (480) 452-3022 |
| NPI Number | 1346919933 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 09/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346919933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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