| Smiles For Miles, Dental Office Of Dr Manosov P.c | |
|
2020 Coffee Rd Ste E Modesto CA 95355-2427 | |
| (209) 571-9855 | |
| (209) 571-9874 |
| Full Name | Smiles For Miles, Dental Office Of Dr Manosov P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2020 Coffee Rd Ste E, Modesto, California |
| Authorized Official Name and Position | Lea Manosov (OWNER) |
| Authorized Official Contact | 2095719855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles For Miles, Dental Office Of Dr Manosov P.c 2020 Coffee Rd Ste E Modesto CA 95355-2421 Ph: (209) 571-9855 | Smiles For Miles, Dental Office Of Dr Manosov P.c 2020 Coffee Rd Ste E Modesto CA 95355-2427 Ph: (209) 571-9855 |
| NPI Number | 1225169683 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225169683 | NPI | - | NPPES |
| G92664-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48326 (California) | Primary |
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Dr. David A. Walls, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1316 Coffee Rd Ste E14, Modesto, CA 95355 Phone: 209-522-9963 Fax: 209-522-5184 | |
Erick N Cuenca Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Plaza Pkwy Ste P1, Modesto, CA 95350 Phone: 209-576-8181 | |
Roger B. Wei, Dds, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Plaza Pkwy Ste C12, Modesto, CA 95350 Phone: 209-491-3620 | |
A S Gill Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1518 Coffee Rd Ste B, Modesto, CA 95355 Phone: 209-809-0123 | |
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