| Modesto Dental Group | |
|
3025 Mchenry Ave Suite N Modesto CA 95350-1466 | |
| (209) 527-3990 | |
| (209) 524-9922 |
| Full Name | Modesto Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3025 Mchenry Ave, Modesto, California |
| Authorized Official Name and Position | Ocean H Hu (PRESIDENT) |
| Authorized Official Contact | 2095273990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modesto Dental Group 3025 Mchenry Ave Suite N Modesto CA 95350-1466 Ph: (209) 527-3990 | Modesto Dental Group 3025 Mchenry Ave Suite N Modesto CA 95350-1466 Ph: (209) 527-3990 |
| NPI Number | 1992958672 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992958672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52993 (California) | Primary |
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