Gloria Estela Villasenor Fass in Modesto - Dentist
Gloria Estela Villasenor Fass - NPI 1376639567
Gloria Estela Villasenor Fass is a Dentist in Modesto, California. Gloria Estela Villasenor Fass practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gloria Estela Villasenor Fass is 1376639567. The last update date is 2022-05-10.
Gloria Estela Villasenor Fass's current location address is 140 Mchenry Ave Ste 5, Modesto, California. You can contact this provider via phone number 2095269188 and fax number 2094098608. The mailing address for Gloria Estela Villasenor Fass is 140 Mchenry Ave Ste 5, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gloria Estela Villasenor Fass |
|---|---|
| Address | 140 Mchenry Ave Ste 5, Modesto, California |
| Phone Number | 2095269188 |
| Fax Number | 2094098608 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1376639567 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2022-05-10 |
Provider Mailing Address Detail
| Address | 140 Mchenry Ave Ste 5 |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953540568 |
| Phone Number | 2095269188 |
| Fax Number | 2094098608 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 48403 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Gloria Estela Villasenor Fass by the Centers for Medicare & Medicaid Services (CMS)?
The Gloria Estela Villasenor Fass has been assigned the NPI (National Provider Identifier) 1376639567. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Gloria Estela Villasenor Fass is geographically located?
The Gloria Estela Villasenor Fass is physically situated at the following location: 140 Mchenry Ave Ste 5, Modesto, CA, 953540568.
What is Gloria Estela Villasenor Fass's area of expertise and its corresponding taxonomy classification?
The Gloria Estela Villasenor Fass's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376639567 to Gloria Estela Villasenor Fass?
The Centers for Medicare & Medicaid Services originally issued the 1376639567 to Gloria Estela Villasenor Fass on 2006-10-05.
When was the information regarding Gloria Estela Villasenor Fass most recently updated?
The details pertaining to the Gloria Estela Villasenor Fass, including its address, specialty, and other relevant information, were last refreshed on 2022-05-10.