| Atoardoshahi Dental PC | |
|
817 Coffee Rd Ste A1 Modesto CA 95355-4241 | |
| (209) 523-7722 | |
| Not Available |
| Full Name | Atoardoshahi Dental PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 817 Coffee Rd Ste A1, Modesto, California |
| Authorized Official Name and Position | Bronika Atoardoshahi (OWNER DENTIST) |
| Authorized Official Contact | 2097358286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atoardoshahi Dental PC 1273 Shady Ln Turlock CA 95382-7266 Ph: (209) 735-8286 | Atoardoshahi Dental PC 817 Coffee Rd Ste A1 Modesto CA 95355-4241 Ph: (209) 523-7722 |
| NPI Number | 1295431732 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 06/18/2023 |
| Certification Date | 06/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295431732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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