| Tejas Modi D.d.s. Inc., | |
|
28039 Scott Rd Ste I Murrieta CA 92563-7430 | |
| (951) 246-8000 | |
| (951) 246-8002 |
| Full Name | Tejas Modi D.d.s. Inc., |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 28039 Scott Rd Ste I, Murrieta, California |
| Authorized Official Name and Position | Tejas Modi (PRESIDENT) |
| Authorized Official Contact | 9512468000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tejas Modi D.d.s. Inc., 28039 Scott Rd Ste I Murrieta CA 92563-7430 Ph: (951) 246-8000 | Tejas Modi D.d.s. Inc., 28039 Scott Rd Ste I Murrieta CA 92563-7430 Ph: (951) 246-8000 |
| NPI Number | 1720287865 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 07/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720287865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D47131 (California) | Primary |
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