|
| |
|
2603 Patterson Rd Ste 5 Riverbank CA 95367-3407 | |
| (209) 315-6300 | |
| (209) 315-6363 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2603 Patterson Rd Ste 5, Riverbank, California |
| Authorized Official Name and Position | Maulik Mahendrabhai Shah (PRESIDENT) |
| Authorized Official Contact | 2092473307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4116 Dragoo Park Dr Modesto CA 95356-1860 Ph: (209) 247-3307 | 2603 Patterson Rd Ste 5 Riverbank CA 95367-3407 Ph: (209) 315-6300 |
| NPI Number | 1962918862 |
|---|---|
| Provider Enumeration Date | 12/14/2017 |
| Last Update Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962918862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | 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 | |