| Momani Dds Inc | |
| 
					706 Main St Livingston CA 95334-1308  | |
| (209) 535-9933 | |
| (209) 409-3611 | 
| Full Name | Momani Dds Inc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 706 Main St, Livingston, California | 
| Authorized Official Name and Position | Ahmad Momani (CEO) | 
| Authorized Official Contact | 2095273990 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Momani Dds Inc 3025 Mchenry Ave Ste N Modesto CA 95350-1449 Ph: (209) 337-4777  | Momani Dds Inc 706 Main St Livingston CA 95334-1308 Ph: (209) 535-9933  | 
| NPI Number | 1861026940 | 
|---|---|
| Provider Enumeration Date | 02/27/2020 | 
| Last Update Date | 02/27/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1861026940 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
George T. King Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1648 Joseph St, Livingston, CA 95334 Phone: 209-394-8090 Fax: 209-394-9025  |