| Momani Dds Inc | |
|
600 W I St. Ste B Los Banos CA 93635-3460 | |
| (209) 675-7005 | |
| Not Available |
| Full Name | Momani Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 600 W I St., Los Banos, California |
| Authorized Official Name and Position | Ahmad Momani (CEO) |
| Authorized Official Contact | 2095273990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momani Dds Inc 3025 Mchenry Ave. Ste N Modesto CA 95350-1449 Ph: (209) 337-4777 | Momani Dds Inc 600 W I St. Ste B Los Banos CA 93635-3460 Ph: (209) 675-7005 |
| NPI Number | 1548895634 |
|---|---|
| Provider Enumeration Date | 03/09/2020 |
| Last Update Date | 03/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548895634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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