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Organization
MOMANI DDS INC
Active
Organization
MOMANI DDS INC
Active
Parent organization
MOMANI DDS INC
Other names
Suave Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOMANI DDS INC
Authorized official
AHMAD I MOMANI DDS (CEO)
(831) 578-0280
Entity
Organization
Contact information
Practice address
12 W 20TH ST, MERCED, CA 95340-3903
(209) 337-4777
(209) 831-3276
Mailing address
1207 13TH ST STE 2, MODESTO, CA 95354-0934
(209) 337-4777
(209) 831-3276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/05/2024
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