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Organization
DIKO A DIKO
Active
Organization
DIKO A DIKO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIKO A DIKO (DDS)
(209) 523-2100
Entity
Organization
Contact information
Practice address
3848 MCHENRY AVE STE 130, MODESTO, CA 95356-1599
(209) 523-2100
Mailing address
3848 MCHENRY AVE STE 130, MODESTO, CA 95356-1599
(209) 523-2100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49511
CA
Other
Enumeration date
03/30/2015
Last updated
04/06/2015
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