Organization
RENA BAINS DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENA BAINS (CEO)
(209) 578-4153
Entity
Organization
Contact information
Practice address
2301 ST PAULS WAY, MODESTO, CA 95355-3309
(209) 578-4153
Mailing address
2301 ST PAULS WAY, MODESTO, CA 95355-3309
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
43683
CA
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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