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Organization
DR. JOTSNA'S DENTAL OFFICE
Active
Organization
DR. JOTSNA'S DENTAL OFFICE
Active
Other names
Pearl Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOTSNA GANGADHARAN DDS (OWNER/DDS)
(209) 523-2100
Entity
Organization
Contact information
Practice address
3848 MCHENRY AVE STE 130, MODESTO, CA 95356-1599
(209) 523-2100
(209) 523-2101
Mailing address
3848 MCHENRY AVE STE 130, MODESTO, CA 95356-1599
(209) 523-2100
(209) 523-2101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53790
CA
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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