| Rena Bains Dds Inc | |
|
2301 St Pauls Way Modesto CA 95355-3309 | |
| (209) 578-4153 | |
| Not Available |
| Full Name | Rena Bains Dds Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2301 St Pauls Way, Modesto, California |
| Authorized Official Name and Position | Rena Bains (CEO) |
| Authorized Official Contact | 2095784153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rena Bains Dds Inc 2301 St Pauls Way Modesto CA 95355-3309 Ph: () - | Rena Bains Dds Inc 2301 St Pauls Way Modesto CA 95355-3309 Ph: (209) 578-4153 |
| NPI Number | 1861989394 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 04/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861989394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 43683 (California) | Primary |
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