Organization
MOMANI DDS INC
Active
Parent organization
MOMANI DDS INC
Other names
Suave Dental #3
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOMANI DDS INC
Authorized official
AHMAD MOMANI DDS (CEO)
(209) 527-3990
Entity
Organization
Contact information
Practice address
706 MAIN ST, LIVINGSTON, CA 95334-1308
(209) 535-9933
(209) 409-3611
Mailing address
3025 MCHENRY AVE, STE N, MODESTO, CA 95350-1449
(209) 337-4777
(209) 236-4464
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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