Organization
CHEEMA DENTAL CORP
Active
Parent organization
CHEEMA DENTAL CORP
Other names
123 ismile
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHEEMA DENTAL CORP
Authorized official
JASBIR S CHEEMA (CEO)
(209) 824-1940
Entity
Organization
Contact information
Practice address
1700 STANDIFORD AVE BLDG 1A, MODESTO, CA 95350-6534
(209) 916-1700
Mailing address
1700 STANDIFORD AVE BLDG 1A, MODESTO, CA 95350-6534
(209) 916-1700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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