Organization
AMERICAN DENTAL SURGERY CENTERS, INC.
Active
Other names
Modesto Dental Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE A KASPRZYK R.N. (PRESIDENT)
(209) 238-3589
Entity
Organization
Contact information
Practice address
4016 DALE RD, MODESTO, CA 95356-9268
(209) 238-3589
Mailing address
7123 BELTIS DR, MODESTO, CA 95356-9547
(209) 238-3589
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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