DR. Elom Kwame Agbottah, DDS
NPI #1326531120 in Modesto, California
Provider Information
- NPI Number
- 1326531120
- Entity Type
- Individual
- Name
- DR. Elom Kwame Agbottah, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 7, 2018
- Last Updated
- Oct 2, 2019
Practice Location
- Address
- 2225 PLAZA PKWY
- City
- Modesto
- State
- California
- ZIP Code
- 95350-6215
- Phone
- (209) 491-3620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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