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3608 Dale Rd Modesto CA 95356-0500 | |
| (209) 577-0777 | |
| (209) 577-0885 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3608 Dale Rd, Modesto, California |
| Authorized Official Name and Position | Robin Walls (DIRECTOR OF INCOME) |
| Authorized Official Contact | 2095770777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3608 Dale Rd Modesto CA 95356-0500 Ph: (209) 577-0777 | 3608 Dale Rd Modesto CA 95356-0500 Ph: (209) 577-0777 |
| NPI Number | 1154652840 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154652840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26912 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 45792 (California) | Secondary |
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 | |