| Modesto Smiles | |
|
1207 14th St Modesto CA 95354-1005 | |
| (209) 566-9264 | |
| Not Available |
| Full Name | Modesto Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1207 14th St, Modesto, California |
| Authorized Official Name and Position | Franklin Cordero (PRESIDENT) |
| Authorized Official Contact | 2095669264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modesto Smiles 1207 14th St Modesto CA 95354-1005 Ph: (209) 566-9264 | Modesto Smiles 1207 14th St Modesto CA 95354-1005 Ph: (209) 566-9264 |
| NPI Number | 1558872077 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 10/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558872077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58853 (California) | Primary |
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