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Organization
MADRIGAL DENTAL CORPORATION
Active
Organization
MADRIGAL DENTAL CORPORATION
Active
Other names
Providence Family Dental and Implants
Organization subpart
No
Provider details
NPI number
Authorized official
APOLINAR MADRIGAL DDS (CEO)
(209) 577-0833
Entity
Organization
Contact information
Practice address
1213 COFFEE RD STE N, MODESTO, CA 95355-4229
(209) 577-0833
Mailing address
1213 COFFEE RD STE N, MODESTO, CA 95355-4229
(209) 577-0833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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