| Robert R Croft Inc | |
|
1236 Floyd Ave Suite C Modesto CA 95350-2471 | |
| (209) 524-5515 | |
| (209) 524-5386 |
| Full Name | Robert R Croft Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1236 Floyd Ave, Modesto, California |
| Authorized Official Name and Position | Robert R Croft (PRESIDENT) |
| Authorized Official Contact | 2095245515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert R Croft Inc 1236 Floyd Ave Suite C Modesto CA 95350-2471 Ph: (209) 524-5515 | Robert R Croft Inc 1236 Floyd Ave Suite C Modesto CA 95350-2471 Ph: (209) 524-5515 |
| NPI Number | 1255521209 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 07/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255521209 | NPI | - | NPPES |
| B20093 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20093 (California) | Primary |
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