Organization
PHILLIP HA DENTAL CORPORATION
Active
Other names
Rise Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP HA DDS, MS (CEO)
(626) 482-6159
Entity
Organization
Contact information
Practice address
1700 MCHENRY AVE STE 16B, MODESTO, CA 95350-4319
(209) 238-9800
Mailing address
1700 MCHENRY AVE STE 16B, MODESTO, CA 95350-4319
(209) 238-9800
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
10/22/2022
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