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General NPI Number Information
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NPI Number | 1477428910
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Entity Type | Organization
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Legal Business Name | RONNYS CAPOTE CABRERA DDS AND AMNERYS GATO PINA DDS DENTAL CORP
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1400 STANDIFORD AVE STE 2
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City | MODESTO
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State | CA
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Zip | 95350-0707
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Country | US
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Telephone | 832-925-1763
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 STANDIFORD AVE STE 2
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City | MODESTO
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State | CA
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Zip | 95350-0707
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Country | US
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Telephone | 832-925-1763
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RONNYS CAPOTE CABRERA
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Credential | DDS
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Telephone | 832-925-1763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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