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Organization
MOMANI DDS INC
Active
Organization
MOMANI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD MOMANI (CEO)
(209) 527-3990
Entity
Organization
Contact information
Practice address
3309 SIERRA ST, RIVERBANK, CA 95367-2440
(209) 872-3399
Mailing address
1207 13TH ST STE 2, MODESTO, CA 95354-0934
(209) 527-3990
(209) 524-9922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59081
CA
261QD0000X
Dental Clinic/Center
Primary
59081
CA
Other
Enumeration date
02/25/2015
Last updated
09/17/2026
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