Organization
BAINS DENTAL CORPORATION
Active
Other names
Valley Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
BALJOT BAINS DDS (CEO)
(209) 718-4300
Entity
Organization
Contact information
Practice address
4120 PRESCOTT RD STE B, MODESTO, CA 95356-8418
(650) 296-8417
Mailing address
3304 RIDGEMONT CT, MODESTO, CA 95355-8449
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
03/23/2022
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