Individual
MIGUEL PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1404 MITCHELL RD, MODESTO, CA 95351-4901
(209) 537-7878
Mailing address
2331 ELM AVE, MODESTO, CA 95358-1626
(209) 765-3191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
63257
CA
1223P0221X
Pediatric Dentistry
Primary
63257
CA
Other
Enumeration date
02/10/2014
Last updated
04/10/2019
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