Grace Dental Of Modesto

LBN: Soroushian And Taqavi Dental Corporation
Grace Dental Of Modesto is an health care organization with primary practice located at 3125 Coffee Rd Ste 4 , Modesto CA 95355-1768. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Soroushian And Taqavi Dental Corporation can be contacted via phone (209) 526-8182, or through Sorooshian, Pooya via phone (925) 876-4680.

Contact Information

Primary practice address
3125 Coffee Rd Ste 4 Modesto CA 95355-1768
Phone: (209) 526-8182
Fax: (209) 526-8214
Website:
Map and Directions
Authorized official contact:
Name: Sorooshian, Pooya
Phone: (925) 876-4680

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1588038327
LBN Legal business name Soroushian And Taqavi Dental Corporation
DBA Doing business as Grace Dental Of Modesto
Authorized official Sorooshian, Pooya
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2015
Last updated Nov 17th, 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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