| Momani Dds Inc. | |
|
125 Ascot Dr Ste D Roseville CA 95661-3408 | |
| (916) 839-3050 | |
| (916) 860-1965 |
| Full Name | Momani Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 125 Ascot Dr Ste D, Roseville, California |
| Authorized Official Name and Position | Ahmad I Momani (CEO/DDS) |
| Authorized Official Contact | 2093374777 |
| 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) 860-3201 | Momani Dds Inc. 125 Ascot Dr Ste D Roseville CA 95661-3408 Ph: (916) 839-3050 |
| NPI Number | 1790402014 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790402014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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