| Stephanie Diego Dental Corporation | |
|
1130 Coffee Rd Ste 8a Modesto CA 95355-4228 | |
| (209) 566-1990 | |
| Not Available |
| Full Name | Stephanie Diego Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1130 Coffee Rd Ste 8a, Modesto, California |
| Authorized Official Name and Position | Stephanie Diego (CEO) |
| Authorized Official Contact | 2095661990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Diego Dental Corporation 1130 Coffee Rd Ste 8a Modesto CA 95355-4228 Ph: (209) 566-1990 | Stephanie Diego Dental Corporation 1130 Coffee Rd Ste 8a Modesto CA 95355-4228 Ph: (209) 566-1990 |
| NPI Number | 1053162727 |
|---|---|
| Provider Enumeration Date | 03/29/2024 |
| Last Update Date | 03/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053162727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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