Village One Dental | |
3020 Floyd Ave Ste 609 Modesto CA 95355-9802 | |
(209) 551-1414 | |
Not Available |
Full Name | Village One Dental |
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Speciality | Dentist |
Location | 3020 Floyd Ave Ste 609, Modesto, California |
Authorized Official Name and Position | Jong Uk Yook (OWNER) |
Authorized Official Contact | 2093736537 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Village One Dental 3020 Floyd Ave Ste 609 Modesto CA 95355-9802 Ph: (209) 551-1414 | Village One Dental 3020 Floyd Ave Ste 609 Modesto CA 95355-9802 Ph: (209) 551-1414 |
NPI Number | 1447659610 |
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Provider Enumeration Date | 08/14/2014 |
Last Update Date | 08/14/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447659610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 49434 (California) | Primary |
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