Dental Source Of California - Dental Clinic in Modesto, CA

Dental Source Of California is a dental clinic (Clinic/center - Dental) in Modesto, California. The current practice location for Dental Source Of California is 1015 5th St, Modesto, California. For appointments, you can reach them via phone at (209) 577-4263. The mailing address for Dental Source Of California is 1015 5th St, Modesto, California and phone number is (209) 577-4263.

Dental Source Of California is licensed to practice in * (Not Available) (license number ) and its NPI number is 1104156744. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (209) 577-4263.

Contact Information

Dental Source Of California
1015 5th St
Modesto
CA 95351-2810
(209) 577-4263
(209) 577-2056

Dental Care Clinic Profile

Full NameDental Source Of California
SpecialityClinic/center - Dental
Location1015 5th St, Modesto, California
Authorized Official Name and PositionDonald Clarke (CORPORATION PRESIDENT)
Authorized Official Contact9164870117
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dental Source Of California
1015 5th St
Modesto
CA 95351-2810

Ph: (209) 577-4263
Dental Source Of California
1015 5th St
Modesto
CA 95351-2810

Ph: (209) 577-4263

NPI Details:

NPI Number1104156744
Provider Enumeration Date01/04/2010
Last Update Date01/04/2010

Medical Identifiers

Medical identifiers for Dental Source Of California such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104156744NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QD0000XClinic/center - Dental (* (Not Available))Primary

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Dental Clinics in Modesto, CA

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Phone: 209-576-8181    
Roger B. Wei, Dds, A Professional Corporation
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Practice Location: 2225 Plaza Pkwy Ste C12, Modesto, CA 95350
Phone: 209-491-3620    
A S Gill Dental Corp
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Practice Location: 1518 Coffee Rd Ste B, Modesto, CA 95355
Phone: 209-809-0123    
Stephanie Diego Dental Corporation
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Medicare: Not Enrolled in Medicare
Practice Location: 1130 Coffee Rd Ste 8a, Modesto, CA 95355
Phone: 209-566-1990    
Great Smiles Dental
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Medicare: Not Enrolled in Medicare
Practice Location: 3219 Mc Henry Ave, Suite E, Modesto, CA 95350
Phone: 209-409-8987    Fax: 209-322-4749

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