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1215583570
IGNACIO ESAUL MENDOZA HAM
MODESTO, CA
NPI
1215583570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 103488)
Enumeration Date
2019-08-13
Last Update Date
2021-07-15
Business Address
Mr. IGNACIO ESAUL MENDOZA HAM D.D.S
3025 MCHENRY AVE STE N
MODESTO, CA 95350-9535
Phone number: 209-527-3990
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Mailing Address
Mr. IGNACIO ESAUL MENDOZA HAM D.D.S
3025 MCHENRY AVE STE N
MODESTO, CA 95350-1449
Phone number: 209-527-3990
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