T C Mody Dds, Inc | |
785 Kiely Blvd Ste 3 Santa Clara CA 95051-5744 | |
(408) 248-4426 | |
Not Available |
Full Name | T C Mody Dds, Inc |
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Speciality | Clinic/center - Dental |
Location | 785 Kiely Blvd Ste 3, Santa Clara, California |
Authorized Official Name and Position | Tiffany Chan Mody (PRESIDENT) |
Authorized Official Contact | 4082484426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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T C Mody Dds, Inc 785 Kiely Blvd Ste 3 Santa Clara CA 95051-5744 Ph: (408) 248-4426 | T C Mody Dds, Inc 785 Kiely Blvd Ste 3 Santa Clara CA 95051-5744 Ph: (408) 248-4426 |
NPI Number | 1376193862 |
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Provider Enumeration Date | 09/17/2019 |
Last Update Date | 09/17/2019 |
Identifier | Type | State | Issuer |
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1376193862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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