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Individual

EFRAIM SANSON FLORENDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2605 COFFEE RD, MODESTO, CA 95055
(209) 521-0100
Mailing address
2605 COFFEE RD, MODESTO, CA 95055
(209) 521-0100

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52389
CA

Other

Enumeration date
04/28/2006
Last updated
04/08/2024
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