| NPI | 1558872077 |
|---|---|
| Doing Business As | MODESTO SMILES |
| Entity Type | Organization |
| Authorized Contact | FRANKLIN CORDERO President 209-566-9264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58853) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |