Organization
RIVER OAKS DENTAL
Active
Other names
River Oaks Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHIL CHEN DDS (OWNER)
(209) 613-4085
Entity
Organization
Contact information
Practice address
1368 MITCHELL RD, MODESTO, CA 95351-4920
(209) 538-1010
Mailing address
1368 MITCHELL RD, MODESTO, CA 95351-4920
(209) 538-1010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710046834
NPI TYPE 1
—
Enumeration date
08/03/2022
Last updated
08/03/2022
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