| Toshi Hart Dds Inc | |
|
4213 Dale Rd # B6 Modesto CA 95356-8505 | |
| (209) 543-6937 | |
| (209) 297-4406 |
| Full Name | Toshi Hart Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 4213 Dale Rd # B6, Modesto, California |
| Authorized Official Name and Position | Toshiko Hart (OWNER) |
| Authorized Official Contact | 2095436937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Toshi Hart Dds Inc 4213 Dale Rd # B6 Modesto CA 95356-8505 Ph: (209) 543-6937 | Toshi Hart Dds Inc 4213 Dale Rd # B6 Modesto CA 95356-8505 Ph: (209) 543-6937 |
| NPI Number | 1356096523 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 11/06/2023 |
| Medicare PECOS PAC ID | 4981090123 |
|---|---|
| Medicare Enrollment ID | O20220415000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356096523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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