| NPI | 1174622146 |
|---|---|
| Doing Business As | MODESTO DENTAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | VICKIE A KASPRZYK President 209-238-3589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |