ACREE-ISENHOWER DENTAL COPORATION
Organization (NPI-2)
Active
Dentist, Pediatric Dentistry
Provider Information
- NPI Number
1427021757- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1801 TULLY ROAD SUITE B, MODESTO, CA, 95350
- Phone
- (209) 343-3500
- Fax
- (209) 527-1971
Specialties & Taxonomies
Dentist, General Practice
License: CA #48870
Dentist, Pediatric Dentistry
Primary License: CA #48880