Organization
C. N. ZERTUCHE, INC., A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA NICOLE LEE ZERTUCHE (PRESIDENT)
(209) 232-5846
Entity
Organization
Contact information
Practice address
3340 TULLY RD STE D3, MODESTO, CA 95350-0852
(209) 232-5846
Mailing address
3430 TULLY RD STE 20 #516, MODESTO, CA 95350-0840
(209) 232-5846
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
60794
CA
Other
Enumeration date
01/31/2017
Last updated
11/13/2019
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