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2119 Patterson Rd Suite 9 Riverbank CA 95367-9639 | |
| (209) 315-5299 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2119 Patterson Rd, Riverbank, California |
| Authorized Official Name and Position | Gurjot Sidhu (PRESIDENT) |
| Authorized Official Contact | 6509664844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2119 Patterson Rd Suite 9 Riverbank CA 95367-9639 Ph: () - | 2119 Patterson Rd Suite 9 Riverbank CA 95367-9639 Ph: (209) 315-5299 |
| NPI Number | 1851742696 |
|---|---|
| Provider Enumeration Date | 06/22/2016 |
| Last Update Date | 06/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851742696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 62962 (California) | Primary |
Momani Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3309 Sierra St, Riverbank, CA 95367 Phone: 209-872-3399 Fax: 209-502-6969 | |