| Rubencillo H Santos Dds Inc | |
|
2503 E Hatch Rd Modesto CA 95351-4817 | |
| (209) 537-5783 | |
| (209) 537-0443 |
| Full Name | Rubencillo H Santos Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2503 E Hatch Rd, Modesto, California |
| Authorized Official Name and Position | Rubencillo Herrera Santos (PRESIDENT) |
| Authorized Official Contact | 2095375783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rubencillo H Santos Dds Inc 2503 E Hatch Rd Modesto CA 95351-4817 Ph: (209) 537-5783 | Rubencillo H Santos Dds Inc 2503 E Hatch Rd Modesto CA 95351-4817 Ph: (209) 537-5783 |
| NPI Number | 1073979472 |
|---|---|
| Provider Enumeration Date | 01/14/2016 |
| Last Update Date | 01/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073979472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 59933 (California) | Primary |
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