| Tejas Modi Dds Inc | |
|
75 W Nuevo Rd Ste A&b Perris CA 92571 | |
| (951) 657-1203 | |
| Not Available |
| Full Name | Tejas Modi Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 75 W Nuevo Rd Ste A&b, Perris, California |
| Authorized Official Name and Position | Tejas Modi (PRESIDENT) |
| Authorized Official Contact | 9516571203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tejas Modi Dds Inc 75 W. Nuevo Rd, Suite A & B Perris CA 92571-0801 Ph: (951) 657-1203 | Tejas Modi Dds Inc 75 W Nuevo Rd Ste A&b Perris CA 92571 Ph: (951) 657-1203 |
| NPI Number | 1134329030 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 08/22/2018 |
| Medicare PECOS PAC ID | 0345678413 |
|---|---|
| Medicare Enrollment ID | O20200324001566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134329030 | NPI | - | NPPES |
| Provider Name | Tejas K Modi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912007600 PECOS PAC ID: 7517395684 Enrollment ID: I20200324001648 |
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