| Dr Modesto Luis, DDS | |
|
4444 Tweedy Blvd, South Gate, CA 90280-6304 | |
| (323) 564-2444 | |
| (323) 249-7565 |
| Full Name | Dr Modesto Luis |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 4444 Tweedy Blvd, South Gate, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720134091 | NPI | - | NPPES |
| D36401 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36401 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Modesto Luis, DDS 5238 Los Caballeros Way, Los Angeles, CA 90027-1012 Ph: () - | Dr Modesto Luis, DDS 4444 Tweedy Blvd, South Gate, CA 90280-6304 Ph: (323) 564-2444 |
Dr. Mi Young Han, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5720 Imperial Hwy, G, South Gate, CA 90280 Phone: 562-869-5554 | |
Dr. Sabina Wiederkehr, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4444 Tweedy Blvd, South Gate, CA 90280 Phone: 323-564-2444 Fax: 323-249-7565 | |
Dr. Chau N Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8420 California Ave, South Gate, CA 90280 Phone: 323-567-2137 Fax: 323-567-5514 | |
Dr. Ardeshir Hakhamian, D.D.S., M.P.H.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 10530 Atlantic Ave, South Gate, CA 90280 Phone: 323-569-5000 Fax: 323-569-4000 | |
Stephanie Galilea Banuelos Chavez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8627 Atlantic Ave, South Gate, CA 90280 Phone: 888-499-9303 | |
Dr. Jose Luis Flores, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8617 California Ave, South Gate, CA 90280 Phone: 323-564-5858 Fax: 323-564-7212 | |
Dr. Victor H. Castellanos, Dentist Medicare: Not Enrolled in Medicare Practice Location: 10025 California Ave, South Gate, CA 90280 Phone: 323-569-0858 |