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2103 Mchenry Avenue, Suite C Modesto CA 95350 | |
(209) 435-9550 | |
(209) 390-1563 |
Full Name | |
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Speciality | Dentist |
Location | 2103 Mchenry Avenue, Suite C, Modesto, California |
Authorized Official Name and Position | Micahel Lopez (OWNER DOCTOR) |
Authorized Official Contact | 2094359550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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17000 Red Hill Avenue Irvine CA 92614 Ph: (714) 845-8656 | 2103 Mchenry Avenue, Suite C Modesto CA 95350 Ph: (209) 435-9550 |
NPI Number | 1821461104 |
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Provider Enumeration Date | 11/09/2015 |
Last Update Date | 11/09/2015 |
Identifier | Type | State | Issuer |
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1821461104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
Roger B. Wei, Dds, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Plaza Pkwy Ste C12, Modesto, CA 95350 Phone: 209-491-3620 | |
A S Gill Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1518 Coffee Rd Ste B, Modesto, CA 95355 Phone: 209-809-0123 | |
Stephanie Diego Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Coffee Rd Ste 8a, Modesto, CA 95355 Phone: 209-566-1990 | |