Search › California › 1223G0001X
Elom Agbottah, DDS
NPI 1326531120 · on the registry since 2018
Practice
- Address
- 2225 Plaza Pkwy
Modesto, CA 95350 - Phone
- (209) 491-3620
- Organisation at this address
- Menm, Llc
Walmart Inc.
National Vision Inc
National Vision, Inc.
Erick N Cuenca Dmd IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 1530 Texas Ave S Ste 300, College Station, TX
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- TX, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California