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1437817111
BASHAR REYAD ELMOMANI
MODESTO, CA
NPI
1437817111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 104847)
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
Dr. BASHAR REYAD ELMOMANI
3025 MCHENRY AVE STE N
MODESTO, CA 95350-1449
Phone number: 209-527-3990
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Mailing Address
Dr. BASHAR REYAD ELMOMANI
3025 MCHENRY AVE STE N
MODESTO, CA 95350-1449
Phone number:
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