| NPI | 1992958672 |
|---|---|
| Doing Business As | MODESTO DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | OCEAN H HU President 209-527-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52993) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |