# MOMANI DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376454751
- **Authorized official:** AHMAD I MOMANI (OWNER/DENTIST)
- **Authorized official phone:** (831) 578-0280

## Contact information

- **Practice address:** 1108 WARD AVE STE A1, PATTERSON, CA 95363-8529
- **Practice address phone:** (209) 893-4564
- **Practice address fax:** (209) 527-5685
- **Mailing address:** 1207 13TH ST STE 2, MODESTO, CA 95354-0934
- **Mailing address phone:** (209) 337-4777
- **Mailing address fax:** (209) 831-3276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2026
- **Last updated:** 09/15/2026