| Momani Dds Inc | |
|
3025 Mchenry Ave Ste N Modesto CA 95350 | |
| (209) 527-3990 | |
| Not Available |
| Full Name | Momani Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3025 Mchenry Ave Ste N, Modesto, California |
| Authorized Official Name and Position | Ahmad Momani (CEO) |
| Authorized Official Contact | 2095273990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momani Dds Inc 3025 Mchenry Ave Ste N Modesto CA 95350-1449 Ph: (209) 535-9933 | Momani Dds Inc 3025 Mchenry Ave Ste N Modesto CA 95350 Ph: (209) 527-3990 |
| NPI Number | 1215329487 |
|---|---|
| Provider Enumeration Date | 02/25/2015 |
| Last Update Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215329487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 59081 (California) | Primary |
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