# AMERICAN DENTAL SURGERY CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modesto Dental Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174622146
- **Authorized official:** MRS. VICKIE A KASPRZYK R.N. (PRESIDENT)
- **Authorized official phone:** (209) 238-3589

## Contact information

- **Practice address:** 4016 DALE RD, MODESTO, CA 95356-9268
- **Practice address phone:** (209) 238-3589
- **Mailing address:** 7123 BELTIS DR, MODESTO, CA 95356-9547
- **Mailing address phone:** (209) 238-3589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 08/22/2020