Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOROUSHIAN AND TAQAVI DENTAL CORPORATION
Active
Organization
SOROUSHIAN AND TAQAVI DENTAL CORPORATION
Active
Other names
Grace Dental of Modesto
Organization subpart
No
Provider details
NPI number
Authorized official
MR. POOYA SOROOSHIAN (OFFICE MANAGER)
(925) 876-4680
Entity
Organization
Contact information
Practice address
3125 COFFEE RD STE 4, MODESTO, CA 95355-1768
(209) 526-8182
(209) 526-8214
Mailing address
3125 COFFEE RD STE 4, MODESTO, CA 95355-1768
(209) 526-8182
(209) 526-8214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up