Search › California › 1223G0001X
Sasi Mannem, D.D.S
NPI 1831192251 · on the registry since 2005
Practice
- Address
- 2103 Mchenry Avenue
Suite C
Modesto, CA 95350 - Phone
- (209) 435-9550
- Organisation at this address
- Michael Lopez Dental Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 3906 N Lamar Blvd, Austin, TX
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- TX, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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