| Rickey & Wong, D.d.s., Inc. | |
|
4101 Tully Rd Ste 201 Modesto CA 95356-8981 | |
| (209) 577-0777 | |
| (209) 577-0885 |
| Full Name | Rickey & Wong, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4101 Tully Rd Ste 201, Modesto, California |
| Authorized Official Name and Position | Robin Walls (DEPUTY EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2095770777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rickey & Wong, D.d.s., Inc. 4101 Tully Rd Ste 201 Modesto CA 95356-8981 Ph: (209) 577-0777 | Rickey & Wong, D.d.s., Inc. 4101 Tully Rd Ste 201 Modesto CA 95356-8981 Ph: (209) 577-0777 |
| NPI Number | 1235551342 |
|---|---|
| Provider Enumeration Date | 01/08/2014 |
| Last Update Date | 01/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235551342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 56244 (California) | Primary |
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