Individual
EDUARDO S GERODIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
220 STANDIFORD AVE, SUITE B, MODESTO, CA 95350
(209) 526-4244
(209) 526-0112
Mailing address
220 STANDIFORD AVE, SUITE B, MODESTO, CA 95350
(209) 526-4244
(209) 526-0112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46799
CA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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