Dr. ELOM KWAME AGBOTTAH DDS
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1326531120- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 2225 PLAZA PKWY, MODESTO, CA, 953506215
- Phone
- (209) 491-3620
Specialties & Taxonomies
Dentist
License: TX #33911
Dentist, General Practice
Primary License: CA #103776