Dr. Jotsna's Dental Office
NPI #1407367824 in Modesto, California
Provider Information
- NPI Number
- 1407367824
- Entity Type
- Organization
- Organization Name
- Dr. Jotsna's Dental Office
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 12, 2017
- Last Updated
- Oct 12, 2017
Practice Location
- Address
- 3848 MCHENRY AVE STE 130
- City
- Modesto
- State
- California
- ZIP Code
- 95356-1599
- Phone
- (209) 523-2100
Authorized Official
- Name
- DR. JOTSNA GANGADHARAN, DDS
- Title
- OWNER/DDS
- Phone
- (209) 523-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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