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Organization
RAY R RODIG DDS, A DENTAL CORPORATION
Active
Organization
RAY R RODIG DDS, A DENTAL CORPORATION
Active
Other names
Vintage Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY RICHARD RODIG DDS (OWNER PRESIDENT)
(209) 524-5044
Entity
Organization
Contact information
Practice address
2937 VENEMAN AVE STE A201, MODESTO, CA 95356-0681
(209) 524-5044
(209) 524-5064
Mailing address
2937 VENEMAN AVE STE A201, MODESTO, CA 95356-0681
(209) 524-5044
(209) 524-5064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31851
CA
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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