| Phillip Ha Dental Corporation | |
|
1700 Mchenry Ave Ste 16b Modesto CA 95350-4319 | |
| (209) 238-9800 | |
| Not Available |
| Full Name | Phillip Ha Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1700 Mchenry Ave Ste 16b, Modesto, California |
| Authorized Official Name and Position | Phillip Ha (CEO) |
| Authorized Official Contact | 6264826159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Ha Dental Corporation 1700 Mchenry Ave Ste 16b Modesto CA 95350-4319 Ph: (209) 238-9800 | Phillip Ha Dental Corporation 1700 Mchenry Ave Ste 16b Modesto CA 95350-4319 Ph: (209) 238-9800 |
| NPI Number | 1366172033 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 10/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366172033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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