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Organization
EDWARD S. GERODIAS, DMD. INC.
Active
Organization
EDWARD S. GERODIAS, DMD. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO S GERODIAS DMD (DENTIST/OWNER)
(209) 526-4244
Entity
Organization
Contact information
Practice address
220 STANDIFORD AVE STE B, MODESTO, CA 95350-1159
(209) 526-4244
(209) 526-0112
Mailing address
220 STANDIFORD AVE STE B, MODESTO, CA 95350-1159
(209) 526-4244
(209) 526-0112
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
46799
CA
Other
Enumeration date
11/01/2017
Last updated
07/21/2022
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