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Organization
MOMANI DDS INC.
Active
Organization
MOMANI DDS INC.
Active
Other names
Suave Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD I MOMANI DDS (CEO/DDS)
(209) 337-4777
Entity
Organization
Contact information
Practice address
125 ASCOT DR STE D, ROSEVILLE, CA 95661-3408
(916) 839-3050
(916) 860-1965
Mailing address
3025 MCHENRY AVE STE N, MODESTO, CA 95350-1449
(209) 860-3201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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