Modesto Modern Dentistry Dental Group

LBN: Michael Lopez Dental Corporation
Modesto Modern Dentistry Dental Group is an health care organization with primary practice located at 2103 Mchenry Avenue, Suite C , Modesto CA 95350. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Michael Lopez Dental Corporation can be contacted via phone (209) 435-9550, or through Lopez, Micahel via phone (209) 435-9550.

Contact Information

Primary practice address
2103 Mchenry Avenue, Suite C Modesto CA 95350
Phone: (209) 435-9550
Fax: (209) 390-1563
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Micahel Doctor of Dental Surgery (DDS)
Phone: (209) 435-9550

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1821461104
LBN Legal business name Michael Lopez Dental Corporation
DBA Doing business as Modesto Modern Dentistry Dental Group
Authorized official Lopez, Micahel Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2015
Last updated Nov 9th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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