| Prakash Sojitra DDS Inc. | |
|
2531 E Whitmore Ave Ste I Ceres CA 95307-2646 | |
| (510) 456-6131 | |
| Not Available |
| Full Name | Prakash Sojitra DDS Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2531 E Whitmore Ave Ste I, Ceres, California |
| Authorized Official Name and Position | Prakash Sojitra (CEO) |
| Authorized Official Contact | 5104566131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prakash Sojitra DDS Inc. 4232 Acclaim Way Modesto CA 95356-1884 Ph: (510) 456-6131 | Prakash Sojitra DDS Inc. 2531 E Whitmore Ave Ste I Ceres CA 95307-2646 Ph: (510) 456-6131 |
| NPI Number | 1942982236 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942982236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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