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Organization
EDWIN Y. JOSEPHS DDS, INC
Active
Organization
EDWIN Y. JOSEPHS DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN JOSEPHS DDS (PRESIDENT)
(213) 820-2153
Entity
Organization
Contact information
Practice address
1213 COFFEE RD, STE. J, MODESTO, CA 95355-4229
(209) 529-6995
Mailing address
5657 SUTTERMILL DR, RIVERBANK, CA 95367-9590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55370
CA
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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