| 123 Ismile | |
|
1700 Standiford Ave Bldg 1a Modesto CA 95350-6534 | |
| (209) 916-1700 | |
| Not Available |
| Full Name | 123 Ismile |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1700 Standiford Ave Bldg 1a, Modesto, California |
| Authorized Official Name and Position | Jasbir S Cheema (CEO) |
| Authorized Official Contact | 2098241940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 123 Ismile 1700 Standiford Ave Bldg 1a Modesto CA 95350-6534 Ph: (209) 916-1700 | 123 Ismile 1700 Standiford Ave Bldg 1a Modesto CA 95350-6534 Ph: (209) 916-1700 |
| NPI Number | 1891467940 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891467940 | NPI | - | NPPES |
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